Open AccessPreoperative neurogenic pulmonary edema: A dilemma for decision making
Author(s) -
Siva Kumar Reddy Lakkireddigari,
Padmaja Durga,
Madhukar Nayak,
R. Gopinath
Publication year - 2012
Publication title -
journal of anaesthesiology-clinical pharmacology/journal of anaesthesiology clinical pharmacology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.466
H-Index - 32
eISSN - 2231-2730
pISSN - 0970-9185
DOI - 10.4103/0970-9185.94905
Subject(s) - medicine , obstructive hydrocephalus , pulmonary edema , edema , hydrocephalus , anesthesia , complication , perioperative , lesion , shunt (medical) , intracranial pressure , surgery , lung
Neurogenic pulmonary edema may be a less-recognized consequence of obstructive hydrocephalus. The authors report a patient with acute obstructive hydrocephalus due to cerebellar metastatic lesion, who presented with neurogenic pulmonary edema. The edema resolved on placement of the ventriculoperitonial shunt. This report addresses the importance of recognition of neurogenic pulmonary edema as a possible perioperative complication resulting from an increase in intracranial pressure and the issues involved with anesthetic management of co-existing neurogenic pulmonary edema and intracranial hypertension.