title: Preoperative neurogenic pulmonary edema: A dilemma for decision making.
abstract: Neurogenic pulmonary edema may be a less-recognized consequence of obstructive hydrocephalus. The authors report a patient with acute obstructive hydrocephalus due to cerebellar metastatic lesion, who presented with neurogenic pulmonary edema. The edema resolved on placement of the ventriculoperitonial shunt. This report addresses the importance of recognition of neurogenic pulmonary edema as a possible perioperative complication resulting from an increase in intracranial pressure and the issues involved with anesthetic management of co-existing neurogenic pulmonary edema and intracranial hypertension.
authors.affiliation: Department of Anesthesiology, Nizam's Istitute of Medical Sciences, Punjagutta, Hyderabad, Andhra Pradesh, India.
authors.forename: Siva Kumar Reddy
authors.initials: SK
authors.lastname: Lakkireddigari
authors.forename: Padmaja
authors.initials: P
authors.lastname: Durga
authors.forename: Madhukar
authors.initials: M
authors.lastname: Nayak
authors.forename: Gopinath
authors.initials: G
authors.lastname: Ramchandran