Edema pulmonar neurogénico secundario a una convulsión: Descripción de un caso y revisión de la literatura

Abstract

Dyspnea is a common reason for consultation in the emergency department, may be the main manifestation of pulmonary edema, which can be classified as cardiogenic or non-cardiogenic. Within the latter, neurogenic pulmonary edema has been described as a rare complication evidenced in patients with central nervous system lesions, which usually resolves within 48-72 hours after the onset of symptoms. This paper presents a case of a 53-year-old female patient admitted to the emergency department with a generalized tonic epileptic seizure and desaturation, chest imaging showing multilobar alveolar opacities. During the hospitalization, cardiogenic pulmonary edema, pulmonary infection and aspiration pneumonia were ruled out. The clinical and imaging course of the patient confirms self-limited neurogenic pulmonary edema.