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Journal of Case Reports
Neurogenic Pulmonary Edema : A Rare Presentation of Traumatic Brain Injury
Kushagra Gupta, Ankur Verma, Sanjay Jaiswal, Wasil Rasool Sheikh, Meghna Haldar, Amit Vishen, Rinkey Ahuja, Abbas Ali Khatai
Department of Emergency Medicine, Max Super Speciality Hospital, Patparganj, New Delhi.
Corresponding Author:
Dr. Kushagra Gupta 
Email: kushagrag.9@gmail.com
Received: 10-OCT-2022 Accepted: 07-FEB-2023 Published Online: 05-APR-2023
DOI: http://dx.doi.org/10.17659/01.2023.0009
Abstract
Background: The pathology behind traumatic brain injury (TBI) ranges from shifts in cellular ionic concentrations to permanent structural damage. TBI patients may develop neurogenic pulmonary edema subsequently but it is a poorly understood entity and is often misdiagnosed. Case Report: We present a case of a young female who presented in altered sensorium with a traumatic brain injury.  Shortly after arrival she developed respiratory distress and shock. She was diagnosed as having a neurogenic pulmonary edema and succumbed to her injuries the following day. Conclusion: Neurogenic pulmonary edema is a fatal complication of higher grades of traumatic brain injury. Timely recognition of the symptoms along with appropriate intervention may help improve the outcomes in an otherwise bleak prognosis.
Keywords : Altered Sensorium, Respiratory Distress, Shock, Prognosis, Trauma.
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