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Neurogenic pulmonary edema: successful treatment with IV phentolamine.
- Source :
-
Chest [Chest] 2012 Mar; Vol. 141 (3), pp. 793-795. - Publication Year :
- 2012
-
Abstract
- Neurogenic pulmonary edema (NPE) is a clinical syndrome characterized by the acute onset of pulmonary edema following a significant CNS insult. The cause is believed to be a surge of catecholamines that results in cardiopulmonary dysfunction. Although there are myriad case reports describing CNS events that are associated with this syndrome, few studies have identified specific treatment modalities. We present a case of NPE caused by an intracranial hemorrhage from a ruptured arteriovenous malformation. We uniquely document a rise and fall of serum catecholamine levels correlating with disease activity and a dramatic clinical response to IV phentolamine.
- Subjects :
- Adrenergic alpha-Antagonists administration & dosage
Catecholamines blood
Humans
Infusions, Intravenous
Intracranial Hemorrhages blood
Intracranial Hemorrhages complications
Male
Middle Aged
Phentolamine administration & dosage
Pulmonary Edema blood
Pulmonary Edema etiology
Treatment Outcome
Adrenergic alpha-Antagonists therapeutic use
Phentolamine therapeutic use
Pulmonary Edema drug therapy
Subjects
Details
- Language :
- English
- ISSN :
- 1931-3543
- Volume :
- 141
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Chest
- Publication Type :
- Academic Journal
- Accession number :
- 22396565
- Full Text :
- https://doi.org/10.1378/chest.11-0789