Aneurysmal Subarachnoid Hemorrhage Presenting with Neurogenic Pulmonary Edema and Hemoconcentration

Hung-lin HSU; Chien-chin HSU; Kuo-tai CHEN

doi:https://doi.org/10.33706/jemcr.550849

Makale detayları

Aneurysmal Subarachnoid Hemorrhage Presenting with Neurogenic Pulmonary Edema and Hemoconcentration

Yazarlar:

Hung-lin HSU | Chien-chin HSU | Kuo-tai CHEN

Yayıncı:

Acil Tıp Uzmanları Derneği

Dergi:

Journal of Emergency Medicine Case Reports 2019 Vol.10 Issue 2, pp.36-38

Belge Tipi:

Makale

Yayın Tarihi:

3/2019

Belge Dili:

İngilizce

Document ID (Org No.):

2000504452

Sıklık:

Aylık

eISSN:

2149-9934

DOI:

https://doi.org/10.33706/jemcr.550849

Özet:

 


Introduction

Neurogenic pulmonary edema (NPE) is a
life-threatening condition caused by various significant central nervous system
injuries. It is characterized by an abrupt increase in fluids within the
alveoli and interstitium of the lungs. The mechanism underlying NPE remains
unclear. Few pathophysiological causes—including neurocardiac factors,
neurohemodynamic factors, blast theory, and pulmonary venule adrenergic
hypersensitivity—have been proposed

Case
report

We report the case of a patient with NPE
associated with subarachnoid hemorrhage (SAH) and stress-hemoconcentration.
Adrenergic responses have been reported to play a crucial role in both NPE and
stress-hemoconcentration. We believe that SAH induces an adrenergic surge,
which causes a cascade of reactions and leads to both NPE and
stress-hemoconcentration.

Conclusion

Central nervous
system (CNS) injuries
are crucial and common causes of adrenergic stimulation; therefore, any subtle
signs indicating CNS injuries should be carefully
investigated. The distress of NPE may mask the initial symptoms of CNS injuries.
If the patient is intubated and under mechanical ventilation to treat NPE, the
inciting neurological injury may be overlooked and result in a delayed
diagnosis. 

.

Makale detayları

Aneurysmal Subarachnoid Hemorrhage Presenting with Neurogenic Pulmonary Edema and Hemoconcentration

Yazarlar: Hung-lin HSU | Chien-chin HSU | Kuo-tai CHEN

Yayıncı: Acil Tıp Uzmanları Derneği

Dergi: Journal of Emergency Medicine Case Reports 2019 Vol.10 Issue 2, pp.36-38

Belge Tipi: Makale

Yayın Tarihi: 3/2019

Belge Dili: İngilizce

Document ID (Org No.): 2000504452

Sıklık: Aylık

eISSN: 2149-9934

DOI: https://doi.org/10.33706/jemcr.550849

Sayı

Yazarlar:

Hung-lin HSU | Chien-chin HSU | Kuo-tai CHEN

Yayıncı:

Acil Tıp Uzmanları Derneği

Dergi:

Journal of Emergency Medicine Case Reports 2019 Vol.10 Issue 2, pp.36-38

Belge Tipi:

Makale

Yayın Tarihi:

3/2019

Belge Dili:

İngilizce

Document ID (Org No.):

2000504452

Sıklık:

Aylık

eISSN:

2149-9934

DOI:

https://doi.org/10.33706/jemcr.550849