Neurogenic pulmonary edema after subarachnoid hemorrhage: a case report

Background: Neurogenic pulmonary edema is a relatively rare and severe complication of acute central neurologic injury, particularly aneurysmal subarachnoid hemorrhage. It has been rather neglected and even misdiagnosed in clinical practice due to its non-specific manifestation. Case presentation: We describe a 44‑year‑old woman suffering from the life-threatening pulmonary edema with a aneurysmal subarachnoid hemorrhage. She was successfully treated with positive end-expiratory pressure and coil embolization at acute stage. The patient was discharged without neurological deficits. Conclusions: Early endovascular intervention and proper timely management of neurogenic pulmonary edema is critical for improving outcomes after aneurysmal subarachnoid hemorrhage. Keywords: Neurogenic pulmonary edema, subarachnoid hemorrhage, aneurysmal rupture.