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Neurogenic pulmonary edema following intracranial coil embolization for subarachnoid hemorrhage -A case report

Korean journal of anesthesiology, 2012-10, Vol.63 (4), p.368-371 [Peer Reviewed Journal]

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Title:
Neurogenic pulmonary edema following intracranial coil embolization for subarachnoid hemorrhage -A case report
Author: Jeong Eun Kim ; Ji Hye Park ; Sung Hyun Lee ; Yoon Ki Lee
Subjects: Endovascular procedure ; pulmonary edema ; Subarachnoid hemorrhage
Is Part Of: Korean journal of anesthesiology, 2012-10, Vol.63 (4), p.368-371
Description: Neurogenic pulmonary edema (NPE) is a well-known complication of acute central neurologic injury, particularly aneurysmal subarachnoid hemorrhage. Both increased intracranial pressure and severe over-activation of the sympathetic nervous system seem to be pathogenetic for the onset of NPE. Although intracranial endovascular therapy is minimally invasive, it may affect brain stem regions and result in sympathetic activation. We now report the case of a 70-year-old woman who suddenly developed pulmonary edema during coil embolization of a ruptured aneurysm. During the intervention, oxygen saturation declined suddenly and a chest radiograph revealed pulmonary edema. The delayed appearance of NPE in this patient implies a risk for sympathetically mediated NPE during endovascular therapy.
Publisher: 대한마취통증의학회(구 대한마취과학회)
Language: Korean
Identifier: ISSN: 2005-6419
EISSN: 2005-7563
Source: KoreaMed Synapse
PubMed Central (Open access)
DOAJ Directory of Open Access Journals
KoreaMed Open Access

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