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首页> 外文期刊>The Canadian Journal of Neurological Sciences: le Journal Canadien des Sciences Neurologiques >Acute neurogenic pulmonary edema after depth electrode placement for epilepsy surgery.
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Acute neurogenic pulmonary edema after depth electrode placement for epilepsy surgery.

机译：放置深度电极后用于癫痫手术的急性神经源性肺水肿。

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摘要

Acute neurogenic pulmonary edema (NPE) is a common and often under recognized disorder that can occur after an acute central nervous system injury. Common causes include seizures, subarachnoid and intracerebral hemorrhage, blunt or penetrating head trauma, and neurosurgical procedures. The pathophysiology of NPE is still largely unknown, but it is believed to be the result of a localized brain injury, which induces an adrenergic response and subsequently acute pulmonary edema. Neurogenic pulmonary edema presents clinically with the sudden onset of dyspnea, tachypnea, and tachycardia in the context of a central neurologic insult. Common mimic includes congestive heart failure, acute respiratory distress symptom and aspiration pneumonia. Chest radiographs typically show a normal size heart with evidence of pulmonary edema. Neurogenic pulmonary edema is generally managed in a supportive and conservative fashion. The majority resolve within 48 to 72 hours. The outcome of patients with NPE is usually determined by the course of the neurological insult and appropriate treatment or supportive measures. We present the case of a 13-year-old adolescent who developed acute neurogenic pulmonary edema after bilateral temporal lobe depth electrode placement for epilepsy surgery.
机译：急性神经源性肺水肿（NPE）是一种常见且通常在公认的疾病中，这种疾病可能在急性中枢神经系统损伤后发生。常见原因包括癫痫发作，蛛网膜下腔和脑出血，钝性或穿透性头部外伤以及神经外科手术。 NPE的病理生理学仍然是未知的，但据信它是局部脑损伤的结果，该局部脑损伤引起肾上腺素能反应并随后引起急性肺水肿。神经源性肺水肿在临床上表现为在中央神经系统损伤的情况下突然出现呼吸困难，呼吸急促和心动过速。常见的模仿包括充血性心力衰竭，急性呼吸窘迫症状和吸入性肺炎。胸部X光片通常显示心脏大小正常，并伴有肺水肿。神经源性肺水肿通常以支持性和保守性方式处理。大多数人在48至72小时内解决。 NPE患者的预后通常取决于神经损伤的过程以及适当的治疗或支持措施。我们介绍了一个案例，该例是一名13岁的青少年，在他的双侧颞叶深度电极放置用于癫痫手术后出现了急性神经源性肺水肿。

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