Recurrent Acute Neurogenic Pulmonary Edema after Uncontrolled Seizures
Acute pulmonary edema following significant injury to the central nervous system is known as neurogenic pulmonary edema (NPE). Commonly seen after significant neurological trauma, NPE has also been described after seizure. While many pathogenic theories have been proposed, the exact mechanism remain...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Pulmonology |
| Online Access: | http://dx.doi.org/10.1155/2018/3483282 |
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| _version_ | 1832552020827963392 |
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| author | Daniel C. Sacher Erika J. Yoo |
| author_facet | Daniel C. Sacher Erika J. Yoo |
| author_sort | Daniel C. Sacher |
| collection | DOAJ |
| description | Acute pulmonary edema following significant injury to the central nervous system is known as neurogenic pulmonary edema (NPE). Commonly seen after significant neurological trauma, NPE has also been described after seizure. While many pathogenic theories have been proposed, the exact mechanism remains unclear. We present a 31-year-old man who developed recurrent acute NPE on two consecutive admissions after experiencing witnessed generalized tonic-clonic (GTC) seizures. Chest radiographs obtained after seizure during both admissions showed bilateral infiltrates which rapidly resolved within 24 hours. He required intubation on each occasion, was placed on lung protective ventilation, and was successfully extubated within 72 hours. There was no identified source of infection, and no cardiac pathology was thought to be contributory. |
| format | Article |
| id | doaj-art-7a535d9f079e4b59ba49dea3c6e06df6 |
| institution | Kabale University |
| issn | 2090-6846 2090-6854 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pulmonology |
| spelling | doaj-art-7a535d9f079e4b59ba49dea3c6e06df62025-02-03T05:59:48ZengWileyCase Reports in Pulmonology2090-68462090-68542018-01-01201810.1155/2018/34832823483282Recurrent Acute Neurogenic Pulmonary Edema after Uncontrolled SeizuresDaniel C. Sacher0Erika J. Yoo1Department of Internal Medicine, Drexel University College of Medicine, Hahnemann University Hospital, Philadelphia, PA, USADivision of Pulmonary, Critical Care, and Sleep Medicine, Drexel University College of Medicine, Hahnemann University Hospital, Philadelphia, PA, USAAcute pulmonary edema following significant injury to the central nervous system is known as neurogenic pulmonary edema (NPE). Commonly seen after significant neurological trauma, NPE has also been described after seizure. While many pathogenic theories have been proposed, the exact mechanism remains unclear. We present a 31-year-old man who developed recurrent acute NPE on two consecutive admissions after experiencing witnessed generalized tonic-clonic (GTC) seizures. Chest radiographs obtained after seizure during both admissions showed bilateral infiltrates which rapidly resolved within 24 hours. He required intubation on each occasion, was placed on lung protective ventilation, and was successfully extubated within 72 hours. There was no identified source of infection, and no cardiac pathology was thought to be contributory.http://dx.doi.org/10.1155/2018/3483282 |
| spellingShingle | Daniel C. Sacher Erika J. Yoo Recurrent Acute Neurogenic Pulmonary Edema after Uncontrolled Seizures Case Reports in Pulmonology |
| title | Recurrent Acute Neurogenic Pulmonary Edema after Uncontrolled Seizures |
| title_full | Recurrent Acute Neurogenic Pulmonary Edema after Uncontrolled Seizures |
| title_fullStr | Recurrent Acute Neurogenic Pulmonary Edema after Uncontrolled Seizures |
| title_full_unstemmed | Recurrent Acute Neurogenic Pulmonary Edema after Uncontrolled Seizures |
| title_short | Recurrent Acute Neurogenic Pulmonary Edema after Uncontrolled Seizures |
| title_sort | recurrent acute neurogenic pulmonary edema after uncontrolled seizures |
| url | http://dx.doi.org/10.1155/2018/3483282 |
| work_keys_str_mv | AT danielcsacher recurrentacuteneurogenicpulmonaryedemaafteruncontrolledseizures AT erikajyoo recurrentacuteneurogenicpulmonaryedemaafteruncontrolledseizures |