Edema pulmonar agudo neurogênico: relato de caso

Brito, José Correia De Farias; Diniz, Maria Cerly Almeida; Rosas, Roberto Ramalho; Silva, José Alberto Gonçalves Da

doi:10.1590/S0004-282X1995000200020

Resumos

Os autores apresentam um caso de edema pulmonar agudo numa paciente de 28 anos de idade acometida de hemorragia subaracnóidea secundária à rotura de aneurisma intracraniano. A sintomatologia respiratória ocorreu durante o agravamento do quadro neurológico. Alguns aspectos etiológicos e fisiopatogênicos do edema pulmonar agudo neurogênico são analisados.

edema pulmonar agudo neurogênico; hemorragia subaracnóidea; aneurisma intracraniano; sistema nervoso simpático; hipertensão intracraniana

The autors report a case of acute neurogenic pulmonary edema in a 28-year-old woman who presented rupture of an internal carotid artery aneurysm and subarachnoid hemorrhage. The respiratory disorders started at the same time the patient's symptomatology aggravated. Some etiological and pathophysiological aspects on neurogenic pulmonary edema are revised.

acute neurogenic pulmonary edema; subarachnoid hemorrhage; internal carotid artery aneurysm; sympathetic nervous system; increased intracranial pressure

Edema pulmonar agudo neurogênico: relato de caso

Acute neurogenic pulmonary edema: case report

José Correia De Farias Brito^I; Maria Cerly Almeida Diniz^II; Roberto Ramalho Rosas^II; José Alberto Gonçalves Da Silva^III

^INeurologista

^IIIntensivista

^IIINeurocirurgião

RESUMO

Os autores apresentam um caso de edema pulmonar agudo numa paciente de 28 anos de idade acometida de hemorragia subaracnóidea secundária à rotura de aneurisma intracraniano. A sintomatologia respiratória ocorreu durante o agravamento do quadro neurológico. Alguns aspectos etiológicos e fisiopatogênicos do edema pulmonar agudo neurogênico são analisados.

Palavras-chave:edema pulmonar agudo neurogênico, hemorragia subaracnóidea, aneurisma intracraniano, sistema nervoso simpático, hipertensão intracraniana.

SUMMARY

The autors report a case of acute neurogenic pulmonary edema in a 28-year-old woman who presented rupture of an internal carotid artery aneurysm and subarachnoid hemorrhage. The respiratory disorders started at the same time the patient's symptomatology aggravated. Some etiological and pathophysiological aspects on neurogenic pulmonary edema are revised.

Key words:acute neurogenic pulmonary edema, subarachnoid hemorrhage, internal carotid artery aneurysm, sympathetic nervous system, increased intracranial pressure.

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Aceite: 11-novembro-1994.

Serviço de Neurologia e Neurocirurgia do Hospital Santa Isabel, João Pessoa, Paraíba:

Dr. José Alberto Gonçalves da Silva - Av. Minas Gerais 1150 - 58030-092 João Pessoa PB - Brasil.

1. Arruda WO, Ramina R. Edema agudo pulmonar neurogęnico após ruptura de aneurisma intracraniano. Neurobiol (Recife) 1989. 52: 99-108.
2. Bleck TP. Neurogenic pulmonary edema: update in critical care. Annual Meeting American Academy of Neurology 1993, 124-71,124-80.
3. Borges ACG, Durval-Neto G, Festugato RR, Zauk AD, Aquini M. Edema agudo de pulmăo secundário a tumor de fossa posterior: registro de um caso. Arq Neuropsiquiatr 1982, 40: 176-178.
4. Brown RH, Beyerl HD, Iseke R, Lavyne MH. Medulla oblongata edema associated with neurogenic pulmonary edema: case report. J Neurosurg 1986, 64: 494-500.
5. Carlson RW, Schaeffer RC, Michaels SG, Weil MH. Pulmonary edema following intracranial hemorrhage. Chest 1979, 75: 731-734.
6. Ciongoli AK, Poser CM. Pulmonary edema secondary to subarachnoid hemorrhage. Neurology 1972, 22: 867-870.
7. Darnell JC, Jay SJ. Recurrent postictal pulmonary edema: a case report and review of the literature. Epilepsia 1982, 23:71-83.
8. Ducker TB. Increased intracranial pressure and pulmonary edema: Part 1. Clinical study of 11 patients. J Neurosurg 1968, 28: 112-117.
9. Fein A, Rackow EC. Neurogenic pulmonary edema. Chest 1982, 81: 318-320.
10. Felman AH. Neurogenic pulmonary edema: observations in 6 patients. Am J Roentgenol Radium Ther Nucl Med 1971, 112: 393-396.
11. Findler G, Cotev S. Neurogenic pulmonary edema associated with a colloid cyst in the third ventricle: case report. J Neurosurg 1980, 52: 395-398.
12. Fisher A, Aboul-Nasr HT. Delayed nonfatal pulmonary edema folowing subarachnoid hemorrhage. J Neurosurg 1979, 51: 856-859.
13. Graf CJ, Rossi NP. Pulmonary edema the central nervous system: a clinico-pathological study. Surg Neurol 1975, 4: 319-325.
14. Greganti MA, Flowers WM. Acute pulmonary edema after the intravenous administration of contrast media. Diagn Radiol 1979, 132: 583-585.
15. Hammermeister KE, Reichenbach DD. QRS changes, pulmonary edema, and myocardial necrosis associated with subarachnoid hemorrhage. Am Heart J 1969, 78: 94-100.
16. Harari A, Rapin M, Regnier B Comoy J, Caron JP. Normal pulmonary-capillary pressures in the late phase of neurogenic pulmonary edema (Letter). Lancet 1976, 28: 494.
17. Klein MD. Neurogenic pulmonary edema. Am Family Physician 1987, 36: 141-145.
18. Lagerkranser M. Pehrsson K, Sylvén C. Neurogenic pulmonary edema: a review of the pathophysiology with clinical and therapeutic implications. Acta Med Scand 1982, 212: 267-271.
19. Lee DS, Kobrine A.Neurogenic pulmonary edema asssociated with ruptured spinal cord arteriovenous malformation.Neurosurgery 1983, 12: 691-693.
20. Melon E, Bonnet F, Lepresle E, Fevrier MJ, Djindjian M, Francois Y, Gray F, Debras C. Altered capillary permeability in neurogenic pulmonary edema. Intens Care Med 1985, 11: 323-325.
21. Poe RH, Reisman JL, Rodenhouse TG. Pulmonary edema in the cervical spinal cord injury. J Trauma 1978, 18: 71-73.
22. Richards P. Pulmonary oedema and intracranial lesions. Br Med J 1963, 13: 83-86.
23. Schell AR, Shenoy MM, Friedman SA, Patel AR. Pulmonary edema associated with subarachnoid hemorrhage: evidence for a cardiogenic origin. Arch Intern Med 1987, 147: 591-593.
24. Theodore J, Robin ED. Speculations on neurogenic pulmonary edema. Am Rev Respir Dist 1976, 113: 941-948.
25. Tichauer TAT, Fontanari JL. Edema pulmonar neurogęnico: estudo de caso. Rev Bras Neurol 1986, 22: 179-182.
26. Weir BK. Pulmonary edema following fatal aneurysm rupture. J Neurosurg 1978, 49: 502-507.
27. Wohns RNW, Kerstein MD. The role of dilantin in the prevention of pulmonary edema associated with cerebral hypoxia. Crit Care Med 1982, 10: 436-443.
28. Wohns RNW, Tamas L, Pierce KR, Howe JF. Chlorpromazine treatment for neurogenic pulmonary edema. Crit Care Med 1985, 13: 210-211.
29. Wray NP, Nicotra MB. Pathogenesis of neurogenic pulmonary edema: case report. Am Rev Respir Dis 1978, 118: 783-786.
30. Yabumoto M, Kuriyama T. Iwamoto M, Kinoshita T. Neurogenic pulmonary edema associated with ruptured intracranial aneurysm: case report. Neurosurgery 1986, 19: 300-304.

Datas de Publicação

Publicação nesta coleção
20 Jan 2011
Data do Fascículo
Jun 1995

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. Arruda WO, Ramina R. Edema agudo pulmonar neurogęnico após ruptura de aneurisma intracraniano. Neurobiol (Recife) 1989. 52: 99-108.

[2] 2. Bleck TP. Neurogenic pulmonary edema: update in critical care. Annual Meeting American Academy of Neurology 1993, 124-71,124-80.

[3] 3. Borges ACG, Durval-Neto G, Festugato RR, Zauk AD, Aquini M. Edema agudo de pulmăo secundário a tumor de fossa posterior: registro de um caso. Arq Neuropsiquiatr 1982, 40: 176-178.

[4] 4. Brown RH, Beyerl HD, Iseke R, Lavyne MH. Medulla oblongata edema associated with neurogenic pulmonary edema: case report. J Neurosurg 1986, 64: 494-500.

[5] 5. Carlson RW, Schaeffer RC, Michaels SG, Weil MH. Pulmonary edema following intracranial hemorrhage. Chest 1979, 75: 731-734.

[6] 6. Ciongoli AK, Poser CM. Pulmonary edema secondary to subarachnoid hemorrhage. Neurology 1972, 22: 867-870.

[7] 7. Darnell JC, Jay SJ. Recurrent postictal pulmonary edema: a case report and review of the literature. Epilepsia 1982, 23:71-83.

[8] 8. Ducker TB. Increased intracranial pressure and pulmonary edema: Part 1. Clinical study of 11 patients. J Neurosurg 1968, 28: 112-117.

[9] 9. Fein A, Rackow EC. Neurogenic pulmonary edema. Chest 1982, 81: 318-320.

[10] 10. Felman AH. Neurogenic pulmonary edema: observations in 6 patients. Am J Roentgenol Radium Ther Nucl Med 1971, 112: 393-396.

[11] 11. Findler G, Cotev S. Neurogenic pulmonary edema associated with a colloid cyst in the third ventricle: case report. J Neurosurg 1980, 52: 395-398.

[12] 12. Fisher A, Aboul-Nasr HT. Delayed nonfatal pulmonary edema folowing subarachnoid hemorrhage. J Neurosurg 1979, 51: 856-859.

[13] 13. Graf CJ, Rossi NP. Pulmonary edema the central nervous system: a clinico-pathological study. Surg Neurol 1975, 4: 319-325.

[14] 14. Greganti MA, Flowers WM. Acute pulmonary edema after the intravenous administration of contrast media. Diagn Radiol 1979, 132: 583-585.

[15] 15. Hammermeister KE, Reichenbach DD. QRS changes, pulmonary edema, and myocardial necrosis associated with subarachnoid hemorrhage. Am Heart J 1969, 78: 94-100.

[16] 16. Harari A, Rapin M, Regnier B Comoy J, Caron JP. Normal pulmonary-capillary pressures in the late phase of neurogenic pulmonary edema (Letter). Lancet 1976, 28: 494.

[17] 17. Klein MD. Neurogenic pulmonary edema. Am Family Physician 1987, 36: 141-145.

[18] 18. Lagerkranser M. Pehrsson K, Sylvén C. Neurogenic pulmonary edema: a review of the pathophysiology with clinical and therapeutic implications. Acta Med Scand 1982, 212: 267-271.

[19] 19. Lee DS, Kobrine A.Neurogenic pulmonary edema asssociated with ruptured spinal cord arteriovenous malformation.Neurosurgery 1983, 12: 691-693.

[20] 20. Melon E, Bonnet F, Lepresle E, Fevrier MJ, Djindjian M, Francois Y, Gray F, Debras C. Altered capillary permeability in neurogenic pulmonary edema. Intens Care Med 1985, 11: 323-325.

[21] 21. Poe RH, Reisman JL, Rodenhouse TG. Pulmonary edema in the cervical spinal cord injury. J Trauma 1978, 18: 71-73.

[22] 22. Richards P. Pulmonary oedema and intracranial lesions. Br Med J 1963, 13: 83-86.

[23] 23. Schell AR, Shenoy MM, Friedman SA, Patel AR. Pulmonary edema associated with subarachnoid hemorrhage: evidence for a cardiogenic origin. Arch Intern Med 1987, 147: 591-593.

[24] 24. Theodore J, Robin ED. Speculations on neurogenic pulmonary edema. Am Rev Respir Dist 1976, 113: 941-948.

[25] 25. Tichauer TAT, Fontanari JL. Edema pulmonar neurogęnico: estudo de caso. Rev Bras Neurol 1986, 22: 179-182.

[26] 26. Weir BK. Pulmonary edema following fatal aneurysm rupture. J Neurosurg 1978, 49: 502-507.

[27] 27. Wohns RNW, Kerstein MD. The role of dilantin in the prevention of pulmonary edema associated with cerebral hypoxia. Crit Care Med 1982, 10: 436-443.

[28] 28. Wohns RNW, Tamas L, Pierce KR, Howe JF. Chlorpromazine treatment for neurogenic pulmonary edema. Crit Care Med 1985, 13: 210-211.

[29] 29. Wray NP, Nicotra MB. Pathogenesis of neurogenic pulmonary edema: case report. Am Rev Respir Dis 1978, 118: 783-786.

[30] 30. Yabumoto M, Kuriyama T. Iwamoto M, Kinoshita T. Neurogenic pulmonary edema associated with ruptured intracranial aneurysm: case report. Neurosurgery 1986, 19: 300-304.