Key result
Supportive care without diuretics led to clinical improvement within 48 hours in a female patient with neurogenic pulmonary edema following a seizure.
Why the study?
The goal was to highlight neurogenic pulmonary edema as a potential cause of acute dyspnea following a seizure to facilitate appropriate management.
Case Report (n=1)
Neurogenic pulmonary edema should be considered in patients presenting with acute pulmonary edema after a seizure, as it can improve with supportive care alone without diuretics.
Answers are grounded in this paper and cite their sources.
Low phenytoin levels may associate with noncardiogenic pulmonary edema post-seizure; this Level 5 case leaves open any causal link.
Acute pulmonary edema is one of the frequent causes of dyspnea encountered in everyday practice. It is broadly attributed to be either cardiogenic or noncardiogenic. It is usually treated with diuretics in addition to other medications depending on the underlying pathology. Here, we report a case of a female patient who presented with shortness of breath after developing a seizure. Further investigations excluded cardiogenic etiology and showed critically low phenytoin level. It improved within 48 h of supportive care without giving diuretics favoring the diagnosis of neurogenic pulmonary edema as the primary pathology. The goal of our case report is to keep neurogenic pulmonary edema in mind, and hence provide the appropriate management, when dealing with similar cases.
No takes yet. Share an insight, caveat, or question.
Najim et al. (2019) conducted a case report in Neurogenic pulmonary edema following a seizure (n=1). Supportive care without diuretics was evaluated on Improvement of pulmonary edema. Supportive care without diuretics led to clinical improvement within 48 hours in a female patient with neurogenic pulmonary edema following a seizure.
Synapse has enriched 10 related papers. Consider them for comparative context: