Handan GÜLEÇ, Münire BABAYİGİT, Aysun KURTAY, Zehra TUTAL, Necla DERELİ, Saziye SAHİN, Eyup HORASANLİ

Neurogenic Pulmonary Edema Developing After Cesarean Section

Neurogenic pulmonary edema (NPE) is a pathogenesis of pulmonary edema which occurs often in the early period following the acute neurologic changes affecting the central nervous system and proceeds with respiratory failure. It causes respiratory problems requiring intubation in the patient. When evaluated in general terms, the pathophysiology of NPE includes cardiopulmonary dysfunction caused by catecholamines that are secreted rapidly and abundantly. This case study will examine the respiratory failure of a 35-year-old pregnant (for 37 weeks), which developed after an emergency cesarean section, and her later being diagnosed with Arteriovenous Malformation (AVM).

Keywords:

Arteriovenous Malformation , cesarean section,

PDF

___

Simon RP. Neurogenic Pulmonary Edema. Neurol Clin 1993;11:309-23.
Lakkireddigari SK, Durga P, Nayak M, Ramchandran G. Preoperative Neurogenic Pulmonary Edema: A Dilemma for Decision Making. J Anaesthesiol Clin Pharmacol. 2012 Apr;28(2):232-4.
Davison DL, Terek M, Chawla LS. Neurogenic Pulmonary Edema. Crit Care. 2012 Dec 12;16(2):212.
Solenski, et al. Medical Complications of Aneurysmal Subarachnoid Hemorrhage: A Report of the Multicenter, Cooperative Aneurysm Study. Participants of the Multicenter Cooperative Aneurysm Study. Crit Care Med 1995;23:1007-17.
Mayer SA, FinkME, HommaS, etal. Cardiac Injury Associated with Neurogenic Pulmonary Edema following Subarachnoid Hemorrhage. Neurology 1994;44: 815-20.
Theodore J,Robin ED. Speculations on Neurogenic Pulmonary Edema(NPE). Am Rev Respir Dis 1976;113:405-11.
West JB. Stress Failure of Pulmonary Capillares: Role in Lung and Heart Disease. Lancet 1992;340:762-67.
Samuels MA. Neurally Induced Cardiac Damage: Definition of the Problem. Neurol Clin 1993;11-273-92.
Smith WS, et al. Evidence for a Hydrostatic Mechanism in Human Neurogenic Pulmonary Edema. Chest 1997; 111:1326-33.
Maron MB, DawsonCA. Pulmonary Venoconstriction Caused by Elevated Cerebrospinal Fluid Pressure in the Dog. J Appl Physiol 1980;49:73-8.
Maron MB. Pulmonary Vasoconstriction in a Canine Model of Neurogenic Pulmonary Edema. J Appl Physiol 1990;68:912-18.