Deepti B. Srinivas, Keshavan H Venkatesh, Archisha Kapoor, Rashmi Patil
{"title":"Unilateral Neurogenic Pulmonary Edema Following Cerebral Aneurysmal Clipping: An Atypical Presentation of Hypoxemia","authors":"Deepti B. Srinivas, Keshavan H Venkatesh, Archisha Kapoor, Rashmi Patil","doi":"10.1055/s-0041-1739346","DOIUrl":null,"url":null,"abstract":"Unilateral pulmonary edema secondary to neurogenic cause is a rare entity. 1 We report such a case following cerebral aneurysmal clipping. A 47-year-old female with no comorbidities presented with headache of 6 days’ duration. Computed tomography (CT) brain showed right Sylvian fis-sure bleed and subarachnoid hemorrhage (SAH) (Fischer grade 2). Cerebral angiogram revealed a right middle cerebral artery (MCA) aneurysm with moderate vasospasm in proximal M2 segment. Clinically, she was World Federation of Neurological Surgeons (WFNS) grade I. Chest X-ray (CXR) was unremarkable, and echocardiogram","PeriodicalId":16574,"journal":{"name":"Journal of Neuroanaesthesiology and Critical Care","volume":null,"pages":null},"PeriodicalIF":0.2000,"publicationDate":"2021-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Neuroanaesthesiology and Critical Care","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1055/s-0041-1739346","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"ANESTHESIOLOGY","Score":null,"Total":0}
引用次数: 1
Abstract
Unilateral pulmonary edema secondary to neurogenic cause is a rare entity. 1 We report such a case following cerebral aneurysmal clipping. A 47-year-old female with no comorbidities presented with headache of 6 days’ duration. Computed tomography (CT) brain showed right Sylvian fis-sure bleed and subarachnoid hemorrhage (SAH) (Fischer grade 2). Cerebral angiogram revealed a right middle cerebral artery (MCA) aneurysm with moderate vasospasm in proximal M2 segment. Clinically, she was World Federation of Neurological Surgeons (WFNS) grade I. Chest X-ray (CXR) was unremarkable, and echocardiogram