title: Neurocardiogenic pulmonary oedema: initial presentation of multiple sclerosis.
abstract: A previously healthy 20 year-old male presented with headache, acute pulmonary oedema and left ventricular dysfunction requiring intensive care admission. Cardiorespiratory symptoms resolved within three days; however, the patient complained of persistent headache and had gait unsteadiness. Magnetic resonance imaging showed a large demyelinating lesion in the caudal medulla with scattered cerebral plaques. The patient was subsequently diagnosed with multiple sclerosis. This case describes a rare initial presentation of multiple sclerosis with acute pulmonary oedema and cardiac dysfunction secondary to a lower brainstem lesion.
authors: St Vincent's Hospital, Australia.
authors: James R
authors: JR
authors: Padley
authors: Michael P
authors: MP
authors: Feneley
authors: Christopher S
authors: CS
authors: Hayward
authors: Romesh
authors: R
authors: Markus
mesh_terms: D000328:Adult; D020234:Gait Ataxia / Q000209:etiology; D006261:Headache / Q000209:etiology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009103:Multiple Sclerosis / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D011654:Pulmonary Edema / Q000209:etiology*; D018487:Ventricular Dysfunction, Left / Q000209:etiology; D055815:Young Adult