Key result
Diuresis and positive end-expiratory pressure (PEEP) assisted ventilation led to marked clinical improvement within 48 hours in a child with neurogenic pulmonary edema following status epilepticus.
Case Report (n=1)
Neurogenic pulmonary edema can occur in children following status epilepticus and can be successfully managed with PEEP ventilation and diuresis.
NPE warrants consideration in pediatric status epilepticus; single case leaves open questions on incidence and management.
Neurogenic pulmonary edema (NPE) is defined as acute pulmonary edema after a sudden neurologic insult. It develops after a significant central nervous system insult such as trauma, hemorrhage or seizures and can occur both in adults and children. A 6-year-old male child, known case of cerebral palsy was brought to the emergency department in status epilepticus. He had severe respiratory distress with pink frothy secretions pouring from the mouth. Clinical and radiological examination was suggestive of NPE. Child was immediately ventilated and all supportive measures were started. Child showed marked improvement within 48 h of admission with diuresis and positive end-expiratory pressure (PEEP) assisted ventilation.
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Nair et al. (2015) conducted a case report in Neurogenic pulmonary edema and status epilepticus (n=1). Diuresis and positive end-expiratory pressure (PEEP) assisted ventilation was evaluated on Clinical improvement. Diuresis and positive end-expiratory pressure (PEEP) assisted ventilation led to marked clinical improvement within 48 hours in a child with neurogenic pulmonary edema following status epilepticus.
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