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Neurogenic pulmonary edema during intracranial endovascular therapy.

Publication ,  Journal Article
Brewer, RP; Borel, CO
Published in: Neurocrit Care
2004

Neurogenic pulmonary edema (NPE) is a well-known complication of acute brain injury. Neurogenic stunned myocardium (NSM) occurs clinically in a significant subset of patients with NPE. A 49-year-old woman developed refractory cerebral vasospasm requiring angioplasty following a subarachnoid hemorrhage. During angioplasty, NPE with NSM manifested as acute pulmonary edema associated with elevated pulmonary artery occlusion pressure and reduced cardiac output. Evaluations disclosed a right insular infarction, cardiac wall motion abnormalities, and electrocardiographic characteristics of NSM. The NSM completely resolved, and the neurological outcome was good. A 56-year-old woman developed NPE during complicated coil embolization of an internal carotid artery aneurysm. Cardiac function was normal, and the NPE resolved with a brief period of mechanical ventilation and diuresis. The delayed appearance of NSM and NPE during endovascular therapy in these patients implies a degree of risk for sympathetically mediated cardiopulmonary dysfunction during complex intracranial endovascular procedures.

Duke Scholars

Published In

Neurocrit Care

DOI

ISSN

1541-6933

Publication Date

2004

Volume

1

Issue

4

Start / End Page

423 / 427

Location

United States

Related Subject Headings

  • Vasospasm, Intracranial
  • Subarachnoid Hemorrhage
  • Radiography, Thoracic
  • Pulmonary Edema
  • Postoperative Complications
  • Neurology & Neurosurgery
  • Middle Aged
  • Intracranial Aneurysm
  • Humans
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Brewer, R. P., & Borel, C. O. (2004). Neurogenic pulmonary edema during intracranial endovascular therapy. Neurocrit Care, 1(4), 423–427. https://doi.org/10.1385/NCC:1:4:423
Brewer, Randall P., and Cecil O. Borel. “Neurogenic pulmonary edema during intracranial endovascular therapy.Neurocrit Care 1, no. 4 (2004): 423–27. https://doi.org/10.1385/NCC:1:4:423.
Brewer RP, Borel CO. Neurogenic pulmonary edema during intracranial endovascular therapy. Neurocrit Care. 2004;1(4):423–7.
Brewer, Randall P., and Cecil O. Borel. “Neurogenic pulmonary edema during intracranial endovascular therapy.Neurocrit Care, vol. 1, no. 4, 2004, pp. 423–27. Pubmed, doi:10.1385/NCC:1:4:423.
Brewer RP, Borel CO. Neurogenic pulmonary edema during intracranial endovascular therapy. Neurocrit Care. 2004;1(4):423–427.
Journal cover image

Published In

Neurocrit Care

DOI

ISSN

1541-6933

Publication Date

2004

Volume

1

Issue

4

Start / End Page

423 / 427

Location

United States

Related Subject Headings

  • Vasospasm, Intracranial
  • Subarachnoid Hemorrhage
  • Radiography, Thoracic
  • Pulmonary Edema
  • Postoperative Complications
  • Neurology & Neurosurgery
  • Middle Aged
  • Intracranial Aneurysm
  • Humans
  • Female