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后颅窝手术后硬膜外血肿合并心肌顿抑和神经源性肺水肿一例罕见病例。

A Rare Case of Postoperative Extradural Hematoma in the Posterior Fossa Complicated by Both Stunned Myocardium and Neurogenic Pulmonary Edema.

机构信息

Department of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences (A.I.I.M.S.), New Delhi, India.

Department of Neurosurgery, All India Institute of Medical Sciences (A.I.I.M.S.), New Delhi, India.

出版信息

Neurol India. 2022 May-Jun;70(3):1217-1219. doi: 10.4103/0028-3886.349626.

Abstract

Acute neurological insult can trigger a cascade of events in other organ systems such as the heart and lung. Neurogenic stunned myocardium (NSM) and Neurogenic pulmonary edema (NPE) are mostly reported after stroke, subarachnoid hemorrhage, or seizures whenever sympathetic storm and autonomic dysregulation occurs. We report here for the first time, a case of postoperative infratentorial extradural hematoma in a patient triggering NSM and NPE at the same time. The challenges involved in the management of such a patient are described in this case report. The patient was successfully managed and discharged home with no new neurological deficits.

摘要

急性神经损伤可引发其他器官系统(如心脏和肺)的一系列事件。神经源性心肌顿抑(NSM)和神经源性肺水肿(NPE)主要在中风、蛛网膜下腔出血或癫痫发作时发生交感神经风暴和自主神经失调后报告。我们在此首次报告了一例术后幕下硬膜外血肿患者同时发生 NSM 和 NPE 的病例。本病例报告描述了此类患者管理中涉及的挑战。该患者成功得到治疗并出院,无新的神经功能缺损。

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