Key result
A 44-year-old woman with life-threatening neurogenic pulmonary edema following aneurysmal subarachnoid hemorrhage was successfully treated with positive end-expiratory pressure and coil embolization, discharging without neurological deficits.
Why the study?
Neurogenic pulmonary edema is a rare, severe complication of acute central neurologic injury like aneurysmal subarachnoid hemorrhage that has been neglected and misdiagnosed due to non-specific manifestations.
Case Report (n=1)
No
Early endovascular intervention and proper respiratory management with PEEP can lead to successful recovery in patients with life-threatening neurogenic pulmonary edema following aneurysmal subarachnoid hemorrhage.
Answers are grounded in this paper and cite their sources.
May support PEEP for neurogenic edema in SAH; leaves open need for prospective validation.
Background: Neurogenic pulmonary edema is a relatively rare and severe complication of acute central neurologic injury, particularly aneurysmal subarachnoid hemorrhage. It has been rather neglected and even misdiagnosed in clinical practice due to its non-specific manifestation. Case presentation: We describe a 44‑year‑old woman suffering from the life-threatening pulmonary edema with a aneurysmal subarachnoid hemorrhage. She was successfully treated with positive end-expiratory pressure and coil embolization at acute stage. The patient was discharged without neurological deficits. Conclusions: Early endovascular intervention and proper timely management of neurogenic pulmonary edema is critical for improving outcomes after aneurysmal subarachnoid hemorrhage.
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Chen et al. (2019) conducted a case report in Neurogenic pulmonary edema after subarachnoid hemorrhage (n=1). Positive end-expiratory pressure (PEEP) and coil embolization was evaluated on Clinical outcome (survival and neurological deficit). A 44-year-old woman with life-threatening neurogenic pulmonary edema following aneurysmal subarachnoid hemorrhage was successfully treated with positive end-expiratory pressure and coil embolization, discharging without neurological deficits.
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