Extracorporeal Membrane Oxygenation for Acute Life-Threatening Neurogenic Pulmonary Edema following Rupture of an Intracranial Aneurysm.
10.3346/jkms.2013.28.6.962
- Author:
Gyo Jun HWANG
1
;
Seung Hun SHEEN
;
Hyoung Soo KIM
;
Hee Sung LEE
;
Tae Hun LEE
;
Gi Ho GIM
;
Sung Mi HWANG
;
Jae Jun LEE
Author Information
1. Department of Neurosurgery, School of Medicine, Seoul National University, Seoul, Korea.
- Publication Type:Case Reports
- Keywords:
Extracorporeal Membrane Oxygenation;
Pulmonary Edema;
Subarachnoid Hemorrhage
- MeSH:
Adult;
Brain/radiography;
Decompressive Craniectomy;
Extracorporeal Membrane Oxygenation;
Female;
Humans;
Intracranial Aneurysm/complications/*diagnosis;
Pulmonary Edema/*diagnosis/etiology/therapy;
Subarachnoid Hemorrhage/etiology;
Tomography, X-Ray Computed
- From:Journal of Korean Medical Science
2013;28(6):962-964
- CountryRepublic of Korea
- Language:English
-
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.
