부산대학교 도서관

Acute pulmonary edema is a common and critical problem in the emergency department, most of the causes is resulted from cardiac origin. The pulmonary edema following a central nervous system insults such as subarachnoid hemorrhage, intracranial bleeds, grand mal seizures and isolated head trauma is called neurogenic pulmonary edema, which is less common clinically. Pathogenesis is not clear now, probably results from massive sympathetic discharge and generalized vasoconstriction after central nervous system insults. We report a emergency case of neurogenic pulmonary edema secondary to subarachnoid hemorrhage, and review its pathogenesis, clinical presentation, emergent management and electrocardiographic changes.