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VOLUME 9 , ISSUE 1 ( January, 2005 ) > List of Articles

CASE REPORT

Neurogenic pulmonary edema due to delayed radiation necrosis

RK Mani, R. Chawla, S. Singh, S. Kansal, R. Prasad, P. N. Renjen, S. Hukoo, P. Lohia

Keywords : Neurogenic pulmonary edema, cerebral edema, acute pulmonary edema, subarachnoid haemorrhage, raised intracranial pressure, mechanical ventilation

Citation Information : Mani R, Chawla R, Singh S, Kansal S, Prasad R, Renjen PN, Hukoo S, Lohia P. Neurogenic pulmonary edema due to delayed radiation necrosis. Indian J Crit Care Med 2005; 9 (1):28-31.

DOI: 10.4103/0972-5229.16266

License: CC BY-ND 3.0

Published Online: 01-09-2009

Copyright Statement:  Copyright © 2005; The Author(s).


Abstract

Neurogenic pulmonary edema is oftten missed in the ICU setting as it is mistaken for pneumonia or ARDS. The case presented here illustrates how a high index of suspicion in the appropriate setting can lead to the diagnosis. The patient in this report developed acute-on-chronic cerebral edema due to radiation necrosis following gamma-knife radiation therapy for cerebral arteriovenous malformation.


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  1. Pender ES, Pollack CV Jr. Neurogenic Pulmonary edema: Case reports and review. J Emerg Med 1992;10:45-51.
  2. Solenski NJ, Haley EC Jr, Kassell NF, Kongable G, Germanson T, Truskowski L, et al. Medical complications of aneurysmal subarachnoid hemorrhage: A report of the multicenter, co-operative aneurysm study. Crit Care Med 1995;23:1007-17.
  3. Fletcher SJ, Atkinson JD. Use of prone ventilation in neurogenic pulmonary edema. Br J Anaesth 2003;90:238-40.
  4. Shanahan WT. Acute pulmonary edema as a complication of epileptic seizures. NY Med J 1908;37:54-6.
  5. Smith WS, Matthay MA. Evidence for a hydrostatic mechanism in the human pulmonary edema. Chest 1997;111:1326-33.
  6. Parr MJA, Finfer SR, Morgan MK. Lesson of the week: Reversible cardiogenic shock complicating subarachnoid haemorrhage. BMJ 1996;313:681-3.
  7. Touhou H, Karasawa J, Shishido H, Yamada K, Yamazaki Y. Neurogenic pulmonary edema in the acute stage of hemorrhagic cerebrovascular disease. Neurosurgery 1989;25:762-8.
  8. Maron MB, Holcomb PH, Dawson CA, Rickaby DA, Clough AV, Linehan JH. Edema development and recovery in neurogenic pulmonary edema. J Appl Physiol 1994;77:1155-63.
  9. Maron MB, Dawson CA. Pulmonary venoconstriction caused by elevated cerebrospinal fluid in he dog. J Appl Physiol 1980;49:73-8.
  10. Wray NP, Nicotra MB. Pathogenesis of neurogenic pulmonary edema. Am Rev Respir Dis 1978;118:783.
  11. Fontes RBV, Aguiar PH. Acute neurogenic pulmonary edema: Case reports and literature review Jr. Neuro Surg Anesthiol 2003:15:44-150.
  12. Pyeron AM. Respiratory failure in the neurological patient: The diagnosis of neurogenic pulmonary edema. J Neurosci Nurs 2001;33:203-7.
  13. Klien MD, Epileptic seizures as a cause of unilateral pulmonary edema. Epilepsia 1987;28:41-4.
  14. Weir BK. Pulmonary edema following fatal aneurysm rupture. J Neurosurg 1978. p. 502-7.
  15. Colice GL, Matthay MA, Bass E, Matthay RA. Neurogenic pulmonary edema. Am Rev Respir Dis 1984;130:941-8.
  16. Quader K, Manninen PH, Jacob KTL. Pulmonary edema in the neurological suit: A diagnostic dilemma. Can J Anaesth 2001;48:308-12.
  17. L′e Orme RM, McGrath NM, Rankin RJ, Frith RW. Extracranial vertebral artery dissection presenting as neurogenic pulmonary oedema. Aust NZ Med 1999;29;824-5.
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