Anatolian Journal of Emergency Medicine

Yazarlar: Burcu YILMAZ, Hatice Şeyma AKÇA, Serkan Emre EROĞLU, Abdullah ALGIN, Gökhan AKSEL

Konular:Tıp

Anahtar Kelimeler:Neurogenic pulmonary edema,Intracranial hemorrhage

Özet: Aim Dyspnea is one of the most common causes of emergency department admission. In this case report, we aimed to draw attention to the intracranial aneurysm rupture and non-cardiogenic neurogenic pulmonary edema (NPE) and emergency management during the follow-up of a young cooperative patient who presented with dyspnea. Case A 32-year-old female patient presented to the emergency department with sudden onset of respiratory distress. Heart rate of the patient was 140/min, SpO2;80%, respiratory rate;35/min. She had a Glasgow Coma Scale score of 15 on her physical examination and no pathology was detected in her neurological examination. Pulmonary auscultation revealed bilateral rhales in all zones and pink foamy phlegm was coming from the patient's mouth.The patient's respiratory status worsened and she was unconscious. Shee was sedated with midazolam and intubated. With all examination and examination results, the patient was diagnosed with neurogenic pulmonary edema. The patient was admitted to the intensive care unit. Seven days after admission to hospital, she died. Conclusion NPE is a type of pulmonary edema that is very mortal and can be presented with only dyspnea as a symptom rather than neurological findings. Especially in patients with sudden onset and rapidly progressing respiratory distress, we should remember that even if there is no neurological symptoms, intracranial hemorrhage must be considered in order to diagnose and treat the patient optimally.

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