Ibrahim Bechri¹* and EL Hasnaoui Amine²

¹Assistant Professor, A1 Intensive Care Unit, Hassan II university Hospital, Fez, Maroc, Morocco
²Khenifra Provincial Hospital, Khenifra, Morocco

*Corresponding Author: Ibrahim Bechri, Assistant Professor, A1 Intensive Care Unit, Hassan II university Hospital, Fez, Maroc, Morocco.

Received: October 30, 2023; Published: February 08, 2024

Abstract

Neurogenic pulmonary edema (NPO) is a rare and underdiagnosed condition that occurs within minutes to hours of central nervous system damage. The pathogenesis of NPO is not completely understood, systemic vasoconstriction, resulting from high levels of catecholamines, associated systemic inflammatory response, leads to increase capillary permeability and results in pulmonary edema. Hypoxemic respiratory failure following a catastrophic neurological event, which cannot be attributed to other causes is the main characteristic of NPO. Management is primarily based on controlling the triggering neurologic condition in order to reduce sympathetic discharge. We report the case of a female who developed hypoxemic respiratory distress following a subarachnoid hemorrhage. Clinical examination and radiological investigations led to the diagnosis of neurogenic pulmonary edema.

 Keywords: Acute Pulmonary Edema; Brain Injury; Neurogenic Pulmonary Edema; Subarachnoid Hemorrhage; Sympathetic Surge

References

1. Shanahan W. “Acute pulmonary edema as a complication of epileptic seizures”. New York Medical Journal 37 (1908): 54-56.
2. Lo-Cao E., et al. “Neurogenic pulmonary edema”. American Journal of Emergency Medicine 45 (2021): 678.e3-678.e5.
3. Finsterer J. “Neurological Perspectives of Neurogenic Pulmonary Edema”. European Neurology1-2 (2019): 94-102.
4. Zhao H., et al. “The mechanism of neurogenic pulmonary edema in epilepsy”. Journal of Physiological Sciences 64 (2014): 65-72.
5. Muroi C., et al. “Neurogenic pulmonary edema in patients with subarachnoid hemorrhage”. Journal of Neurosurgical Anesthesiology 3 (2008): 188-192.
6. Lozada-Martínez ID., et al. “Neurogenic pulmonary edema in subarachnoid hemorrhage: relevant clinical concepts”. Egyptian Journal of Neurosurgery1 (2021): 27.
7. Yonekawa J., et al. “Neurogenic pulmonary edema secondary to epileptic seizure”. Clinical Case Report12 (2020): 3559-3560.
8. Figueiredo EG., et al. “Subarachnoid hemorrhage and hydrocephalus causing neurogenic pulmonary edema”. Arquivos de Neuro-Psiquiatria3 (2010): 461-462.
9. Al-Dhahiri MA and Sharma S. “Neurogenic Pulmonary Edema” (2018).
10. Busl KM and Bleck TP. “Neurogenic Pulmonary Edema”. Critical Care Medicine8 (2015): 1710-1715.
11. Maslonka MA., et al. “Pathophysiology and Management of Neurogenic Pulmonary Edema in Patients with Acute Severe Brain Injury”. South Medical Journal10 (2022): 784-789.
12. O’Leary R and McKinlay J. “Neurogenic pulmonary oedema”. Continuing Education Anesthesia Critical Care3 (2011): 87-92.

Citation

Citation: Ibrahim Bechri and EL Hasnaoui Amine. “Neurogenic Pulmonary Edema Following Subarachnoid Hemorrhage: Case Report”.Acta Scientific Medical Sciences 8.3 (2024): 41-43.

Copyright

Copyright: © 2024 Ibrahim Bechri and EL Hasnaoui Amine. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.