A diagnostic dilemma in an alert patient with pulmonary oedema following craniotomy: A case report
Abstract
Introduction: We present a case developing idiopathic pulmonary oedema following craniotomy without any neurological symptoms.
Case description: A 70-year-old female, who had unremarkable medical history, underwent removal of brain tumour under general anaesthesia. Craniotomy was uneventfully performed and her respiratory and haemodynamic conditions during the operation were normal. Immediately after the operation, she regained consciousness and was neurologically intact. However, her oxygenation was not sufficient without oxygen administration, her chest X-ray showed pulmonary oedema. Gradually, her pulmonary oedema in the chest X-rays disappeared. There was no specific reason of pulmonary oedema except for intracranial manipulation, therefore, it was considered as neurologic pulmonary oedema.
Conclusion: In this case, we merely might have followed the restoration process from neurologic pulmonary oedema developing during the operation.
References
2. Davison DL, Terek M, Chawla LS. Neurogenic pulmonary edema. Crit Care. 2012;16:212.
3. Ducker TB, Simmons RL. Increased intracranial pressure and pulmonary edema. Part 2: the hemodynamic response of dogs and monkeys to increased intracranial pressure. J Neurosurg. 1968;28:118-23.
4. Kosnik EJ, Paul SE, Rossel CW, Sayers MP. Central neurogenic pulmonary edema: with a review of its pathogenesis and treatment. Childs Brain. 1977;3:37-47.
5. Sedy J, Zicha J, Kunes J, Jendelova P, Sykova E. Mechanisms of neurogenic pulmonary edema development. Physiol Res. 2008;57:499-506.
6. Davidyuk G, Soriano SG, Goumnerova L, Mizrahi-Arnaud A. Acute intraoperative neurogenic pulmonary edema during endoscopic ventriculoperitoneal shunt revision. Anesth Analg. 2010;110:594-5.
7. Quader K, Manninen PH, Lai JK. Pulmonary edema in the neuroradiology suite: a diagnostic dilemma. Can J Anaesth. 2001;48:308-12.
8. Rasmussen M, Bundgaard H, Cold GE. Craniotomy for supratentorial brain tumors: risk factors for brain swelling after opening the dura mater. J Neurosurg. 2004;101:621-6.
9. Colice GL. Neurogenic pulmonary edema. Clin Chest Med. 1985;6:473-89.
10. Jacob FD, Wheatley MB, Sinclair DB. Acute neurogenic pulmonary edema after depth electrode placement for epilepsy surgery. Can J Neurol Sci. 2010;37:885-7.
11. Krodel DJ, Bittner EA, Abdulnour R, Brown R, Eikermann M. Case scenario: acute postoperative negative pressure pulmonary edema. Anesthesiology. 2010;113:200-7.
12. Chandler WF, Dimcheff DG, Taren JA. Acute pulmonary edema following venous air embolism during a neurosurgical procedure. Case report. J Neurosurg. 1974;40:400-4.
13. Frim DM, Wollman L, Evans AB, Ojemann RG. Acute pulmonary edema after low-level air embolism during craniotomy Case report. J Neurosurg. 1996;85:937-40.
Downloads
Altmetric
Article metrics | |
---|---|
Abstract views | |
Galley vies | |
PDF Views | |
HTML views | |
Other views |