This case highlights that neurogenic pulmonary oedema can rarely be the initial presentation of multiple sclerosis.
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Neurogenic pulmonary oedema may prompt MS evaluation in unexplained cases; this report leaves open any causal association.
Acute pulmonary oedema and headache are both common. The former is usually cardiogenic in origin. Severe headache of sudden onset in a young person may be suggestive of subarachnoid headache. We describe a 24-year-old man who presented with headache and pulmonary oedema, finally ascribed to multiple sclerosis. This is the first report of neurogenic pulmonary oedema as the first symptom of multiple sclerosis. We review the neuroanatomical basis and experimental evidence for neurogenic pulmonary oedema.
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Crawley et al. (2001) studied this question.
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