Neurocardiogenic Pulmonary Oedema: Initial Presentation of Multiple Sclerosis
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- 作者：James R. Padley ; PhD
- 关键词：Pulmonary oedema ; Cardiomyopathy ; Multiple sclerosis
- 刊名：Heart, Lung and Circulation
- 出版年：2012
- 出版时间：December, 2012
- 年：2012
- 卷：21
- 期：12
- 页码：853-855
- 全文大小：301 K
文摘
A previously healthy 20 year-old male presented with headache, acute pulmonary oedema and left ventricular dysfunction requiring intensive care admission. Cardiorespiratory symptoms resolved within three days; however, the patient complained of persistent headache and had gait unsteadiness. Magnetic resonance imaging showed a large demyelinating lesion in the caudal medulla with scattered cerebral plaques. The patient was subsequently diagnosed with multiple sclerosis. This case describes a rare initial presentation of multiple sclerosis with acute pulmonary oedema and cardiac dysfunction secondary to a lower brainstem lesion.