title: Postictal neurogenic pulmonary edema during uncal herniation--a case report and literature review.
abstract: 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.
authors.affiliation: Dept. of Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan, R.O.C.
authors.forename: J J
authors.initials: JJ
authors.lastname: Liao
authors.forename: C W
authors.initials: CW
authors.lastname: Wong
authors.forename: W C
authors.initials: WC
authors.lastname: Cheng
authors.forename: W C
authors.initials: WC
authors.lastname: Tzaan
mesh_terms: 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*