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[Recurrent postictal pulmonary edema--a case report].

S Anegawa1, Y Doi, K Hiroshige

  • 1Department of Neurosurgery, Saiseikai Fukuoka General Hospital, Japan.

No to Shinkei = Brain and Nerve
|April 1, 1988
PubMed
Summary
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This case study highlights a patient experiencing recurrent grand mal seizures complicated by acute pulmonary edema. Prompt oxygen therapy and medical management led to recovery, underscoring the importance of timely intervention for seizure-induced respiratory distress.

Area of Science:

  • Internal Medicine
  • Pulmonology
  • Neurology

Background:

  • A 32-year-old woman with a history of eclampsia presented with a grand mal seizure.
  • Initial presentation included bilateral rales and significant hypoxemia (PaO2 51.2 mmHg).

Observation:

  • Chest X-ray revealed diffuse bilateral alveolar infiltrates.
  • Swan-Ganz catheterization showed normal pulmonary arterial pressure (PAP) and pulmonary capillary wedge pressure (PCWP).

Findings:

  • The patient experienced two episodes of grand mal seizures, each complicated by acute pulmonary edema.
  • Treatment with supplemental oxygen resulted in marked improvement in respiratory status and radiographic findings.

Implications:

  • This case suggests a potential link between grand mal seizures and the development of acute pulmonary edema.

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  • Further research is warranted to elucidate the pathophysiology and optimal management strategies for seizure-induced pulmonary edema.