Neurological Perspectives of Neurogenic Pulmonary Edema

Background: Neurogenic pulmonary edema (NPE) is characterized by acute respiratory distress triggered by acute, severe compromise of the central nervous system (CNS). This review aims at summarizing and discussing recent and previous findings about the type and frequency of CNS triggers of NPE, pathogenesis, diagnosis, treatment, and outcome of patients experiencing NPE.Key Messages: NPE is diagnosed in the presence of pink, frothy sputum, pulmonary edema, bilateral opacities on X-ray, PaO2:PiO2 #x3c;200 mm Hg, acute CNS compromise with increased intra-cranial pressure, rapid resolution within 48 –72 h, and the absence of alternative causes of respiratory distress. The most common cerebral triggers of NPE include enterovirus-71-associated brainstem encephalitis, subarachnoid bleeding, intracerebral bleeding, traumatic brain injury, epilepsy, ischemic stroke, intracranial/spinal surgery, mu ltiple sclerosis, electroconvulsive therapy, subdural/epidural hematoma, intoxication, hypoxia, and hydrocephalus. Simultaneous treatment of CNS and pulmonary compromise is required. Cerebral treatment involves infectiologists, neurologists, and neurosurgeons. Pulmonary treatment is mainly supportiv e, but if ineffective, extracorporeal membrane oxygenation or thermodilution are alternative options. Applying intensive care measures, the outcome of NPE has improved.Summary: CNS-disease triggering NPE is more variegated than anticipated. Delineation of NPE from other pulmonary or cardia...
Source: European Neurology - Category: Neurology Source Type: research

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Every day, almost 200 women worldwide die from bleeding complications after childbirth, known as postpartum haemorrhage (PPH) [1]. Uterine atony (insufficient uterine contraction after delivery of the placenta) is the primary cause of 58-90% of PPH cases [2 –4]. Rates of PPH are increasing in many developed countries due to increasing rates of uterine atony [5–8].
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - Category: OBGYN Authors: Source Type: research
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Source: Human Movement Science - Category: Neurology Authors: Source Type: research
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Source: Epilepsy and Behaviour - Category: Neurology Authors: Source Type: research
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Source: Epilepsy and Behaviour - Category: Neurology Authors: Source Type: research
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Source: Epilepsy and Behaviour - Category: Neurology Authors: Source Type: research
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Source: Epilepsy and Behaviour - Category: Neurology Authors: Source Type: research
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