A diagnostic dilemma in an alert patient with pulmonary oedema following craniotomy: A case report

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• 作者：Kosuke Tsubaki ; Satoki Inoue ; ^{seninoue@naramed-u.ac.jp} ; Masahiko Kawaguchi
• 关键词：Neurosurgery ; Pulmonary edema ; Perioperative period ; Meningioma ; General ; Anesthesia
• 刊名：Colombian Journal of Anesthesiology
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：45
• 期：supp_S1
• 页码：71-75
• 全文大小：1173 K
• 卷排序：45

文摘

We present a case developing idiopathic pulmonary oedema following craniotomy without any neurological symptoms.Case descriptionA 70-year-old female, who had unremarkable medical history, underwent removal of brain tumour under general anaesthesia. Craniotomy was uneventfully performed and her respiratory and haemodynamic conditions during the operation were normal. Immediately after the operation, she regained consciousness and was neurologically intact. However, her oxygenation was not sufficient without oxygen administration, her chest X-ray showed pulmonary oedema. Gradually, her pulmonary oedema in the chest X-rays disappeared. There was no specific reason of pulmonary oedema except for intracranial manipulation, therefore, it was considered as neurologic pulmonary oedema.ConclusionIn this case, we merely might have followed the restoration process from neurologic pulmonary oedema developing during the operation.