J Korean Med Sci.
2013 Jun;28(6):962-964. 10.3346/jkms.2013.28.6.962.
Extracorporeal Membrane Oxygenation for Acute Life-Threatening Neurogenic Pulmonary Edema following Rupture of an Intracranial Aneurysm
- Affiliations
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- 1Department of Neurosurgery, School of Medicine, Seoul National University, Seoul, Korea.
- 2Department of Neurosurgery, School of Medicine, Hallym University, Chuncheon, Korea.
- 3Department of Thoracic and Cardiovascular Surgery, School of Medicine, Hallym University, Chuncheon, Korea.
- 4Department of Emergency Medicine, School of Medicine, Hallym University, Chuncheon, Korea.
- 5Department of Anesthesiology and Pain Medicine, School of Medicine, Hallym University, Chuncheon, Korea. iloveu59@hallym.or.kr
- KMID: 2158050
- DOI: http://doi.org/10.3346/jkms.2013.28.6.962
Abstract
- Neurogenic pulmonary edema (NPE) leading to cardiopulmonary dysfunction is a potentially life-threatening complication in patients with central nervous system lesions. This case report describes a 28-yr woman with life-threatening fulminant NPE, which was refractory to conventional respiratory treatment, following the rupture of an aneurysm. She was treated successfully with extracorporeal membrane oxygenation (ECMO), although ECMO therapy is generally contraindicated in neurological injuries such as brain trauma and diseases that are likely to require surgical intervention. The success of this treatment suggests that ECMO therapy should not be withheld from patients with life-threatening fulminant NPE after subarachnoid hemorrhage.
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