Postictal neurogenic pulmonary edema during uncal herniation--a case report and literature review.
A 13-year-old boy fell off a tree and developed an acute subdural hematoma (SDH) which was treated conservatively because the patient was fully conscious. After a generalized tonic-clonic seizure, he manifested signs of uncal herniation and neurogenic pulmonary edema (NPE). The patient made a good recovery after craniotomy and evacuation of the SDH with intensive pulmonary care. Though rare, uncomplicated postictal NPE in children almost runs a smooth course with favorable outcomes. However, the mortality rate is high in postictal NPE complicating cerebral herniation, and it seems an exception that our patient made a good recovery.
Liao
J J
JJ
Dept. of Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan, R.O.C.
Wong
C W
CW
Cheng
W C
WC
Tzaan
W C
WC
D000208:Acute Disease; D000293:Adolescent; D004677:Encephalocele / Q000150:complications*; D004830:Epilepsy, Tonic-Clonic / Q000150:complications*; D006408:Hematoma, Subdural / Q000150:complications; D006801:Humans; D008297:Male; D011654:Pulmonary Edema / Q000209:etiology*