Neurogenic pulmonary oedema after generalized epileptic seizure.

Ansgar Brambrink, I. Tzanova

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

The diagnosis 'tonic clonic seizure' is frequently established by emergency physicians on scene. In patients with epilepsy mortality due to accidents, asphyxia, cardiac arrhythmias or postictal neurogenic pulmonary oedema (NPO) is twice as high as in the general population. We report a case of acute pulmonary oedema after a tonic clonic seizure. Following this event, the patient developed respiratory insufficiency and evidence of pulmonary oedema not associated with the classic aetiologies of congestive heart failure, aspiration or toxic exposure. The patient survived the incident after aggressive prehospital treatment, long-term intensive care and subsequent rehabilitation. A systematic case analysis and an introduction to the pathophysiology of NPO are presented. We recommend a positive approach to the management of NPO consisting primarily of interventions to stabilize vital functions, decrease intracranial pressure and normalize vegetative dysregulation. Emergency physicians need to consider the possibility of NPO in all cases of pulmonary oedema of unknown origin.

Original languageEnglish (US)
Pages (from-to)59-66
Number of pages8
JournalEuropean journal of emergency medicine : official journal of the European Society for Emergency Medicine
Volume5
Issue number1
StatePublished - Mar 1998
Externally publishedYes

Fingerprint

Pulmonary Edema
Epilepsy
Seizures
Emergencies
Physicians
Poisons
Asphyxia
Intracranial Pressure
Long-Term Care
Critical Care
Respiratory Insufficiency
Accidents
Cardiac Arrhythmias
Rehabilitation
Heart Failure
Mortality
Population

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Neurogenic pulmonary oedema after generalized epileptic seizure. / Brambrink, Ansgar; Tzanova, I.

In: European journal of emergency medicine : official journal of the European Society for Emergency Medicine, Vol. 5, No. 1, 03.1998, p. 59-66.

Research output: Contribution to journalArticle

@article{27f6a28487574d50a687a9759bf19b5d,
title = "Neurogenic pulmonary oedema after generalized epileptic seizure.",
abstract = "The diagnosis 'tonic clonic seizure' is frequently established by emergency physicians on scene. In patients with epilepsy mortality due to accidents, asphyxia, cardiac arrhythmias or postictal neurogenic pulmonary oedema (NPO) is twice as high as in the general population. We report a case of acute pulmonary oedema after a tonic clonic seizure. Following this event, the patient developed respiratory insufficiency and evidence of pulmonary oedema not associated with the classic aetiologies of congestive heart failure, aspiration or toxic exposure. The patient survived the incident after aggressive prehospital treatment, long-term intensive care and subsequent rehabilitation. A systematic case analysis and an introduction to the pathophysiology of NPO are presented. We recommend a positive approach to the management of NPO consisting primarily of interventions to stabilize vital functions, decrease intracranial pressure and normalize vegetative dysregulation. Emergency physicians need to consider the possibility of NPO in all cases of pulmonary oedema of unknown origin.",
author = "Ansgar Brambrink and I. Tzanova",
year = "1998",
month = "3",
language = "English (US)",
volume = "5",
pages = "59--66",
journal = "European Journal of Emergency Medicine",
issn = "0969-9546",
publisher = "Lippincott Williams and Wilkins",
number = "1",

}

TY - JOUR

T1 - Neurogenic pulmonary oedema after generalized epileptic seizure.

AU - Brambrink, Ansgar

AU - Tzanova, I.

PY - 1998/3

Y1 - 1998/3

N2 - The diagnosis 'tonic clonic seizure' is frequently established by emergency physicians on scene. In patients with epilepsy mortality due to accidents, asphyxia, cardiac arrhythmias or postictal neurogenic pulmonary oedema (NPO) is twice as high as in the general population. We report a case of acute pulmonary oedema after a tonic clonic seizure. Following this event, the patient developed respiratory insufficiency and evidence of pulmonary oedema not associated with the classic aetiologies of congestive heart failure, aspiration or toxic exposure. The patient survived the incident after aggressive prehospital treatment, long-term intensive care and subsequent rehabilitation. A systematic case analysis and an introduction to the pathophysiology of NPO are presented. We recommend a positive approach to the management of NPO consisting primarily of interventions to stabilize vital functions, decrease intracranial pressure and normalize vegetative dysregulation. Emergency physicians need to consider the possibility of NPO in all cases of pulmonary oedema of unknown origin.

AB - The diagnosis 'tonic clonic seizure' is frequently established by emergency physicians on scene. In patients with epilepsy mortality due to accidents, asphyxia, cardiac arrhythmias or postictal neurogenic pulmonary oedema (NPO) is twice as high as in the general population. We report a case of acute pulmonary oedema after a tonic clonic seizure. Following this event, the patient developed respiratory insufficiency and evidence of pulmonary oedema not associated with the classic aetiologies of congestive heart failure, aspiration or toxic exposure. The patient survived the incident after aggressive prehospital treatment, long-term intensive care and subsequent rehabilitation. A systematic case analysis and an introduction to the pathophysiology of NPO are presented. We recommend a positive approach to the management of NPO consisting primarily of interventions to stabilize vital functions, decrease intracranial pressure and normalize vegetative dysregulation. Emergency physicians need to consider the possibility of NPO in all cases of pulmonary oedema of unknown origin.

UR - http://www.scopus.com/inward/record.url?scp=0032009635&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0032009635&partnerID=8YFLogxK

M3 - Article

C2 - 10406421

AN - SCOPUS:0032009635

VL - 5

SP - 59

EP - 66

JO - European Journal of Emergency Medicine

JF - European Journal of Emergency Medicine

SN - 0969-9546

IS - 1

ER -