Key result
Spontaneous cerebellar hemorrhage in a 34-year-old woman resulted in fatal fulminant neurogenic pulmonary edema, with death occurring within 28 hours of admission.
Case Report (n=1)
Neurogenic pulmonary edema is a rare but potentially fatal complication of spontaneous cerebellar hemorrhage that requires prompt recognition.
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NPE may herald spontaneous cerebellar hemorrhage; this Level 5 case leaves open its true frequency and diagnostic implications.
BACKGROUND: Neurogenic pulmonary edema (NPE) is a clinical syndrome characterized by an acute increase of pulmonary interstitial and alveolar fluid. It could result from a significant central nervous system (CNS) insult such as intracranial hemorrhage. However, NPE as a major presenting manifestation of cerebellar hemorrhage was seldom reported. CASE DESCRIPTION: We introduce a rare case of a 34-year-old woman suffering from a fulminant NPE in parallel with a spontaneous cerebellar hemorrhage. Although appropriate supportive measures were taken in the neuroscience care unit, the patient failed to survive hypoxemia within 28 h after hospital admission. CONCLUSION: Pathological lesions of the cerebellum may initiate a cascade of reactions including massive sympathetic discharge and catecholamine storm, leading to a dysfunction of both cardiovascular and respiratory systems. By far, no effective therapeutic strategies have been utilized to treat such a situation. Our present report would shed light on the underlying mechanism of NPE.
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Su et al. (2014) conducted a case report in Neurogenic pulmonary edema and spontaneous cerebellar hemorrhage (n=1). Spontaneous cerebellar hemorrhage was evaluated on Survival. Spontaneous cerebellar hemorrhage in a 34-year-old woman resulted in fatal fulminant neurogenic pulmonary edema, with death occurring within 28 hours of admission.
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