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Medline ® Abstract for Reference 93

of 'Neurogenic pulmonary edema'

Extracorporeal membrane oxygenation for acute life-threatening neurogenic pulmonary edema following rupture of an intracranial aneurysm.
Hwang GJ, Sheen SH, Kim HS, Lee HS, Lee TH, Gim GH, Hwang SM, Lee JJ
J Korean Med Sci. 2013 Jun;28(6):962-4. Epub 2013 Jun 03.
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.
Department of Neurosurgery, School of Medicine, Seoul National University, Seoul, Korea.