Amit Agrawal 1 * , Jake Timothy 2, Lekha Pandit 3, Anand Kumar 4, G.K. Singh 5, R. Lakshmi 6
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1 B.P. Koirala Institute of Health Sciences, Department of Surgery, Dharan, Nepal
2 Leeds General Infirmary, Department of Neurosurgery, Leeds, U.K.
3 K.S.Hegde Medical Academy, Department of Neurology, Mangalore, India
4 B.P. Koirala Institute of Health Sciences, Department of Surgery. Dharan, Nepal
5 B.P. Koirala Institute of Health Sciences, Department of Orthopedics. Dharan, Nepal
6 B.P. Koirala Institute of Health Sciences, Department of Medicine. Dharan, Nepal
* Corresponding Author


Neuogenic pulmonary oedema (NPO) usually occurs following severe central nervous system (CNS) injuries (i.e. as a consequence of grand mal seizures, subarachnoid haemorrhage, intracranial bleeding, severe head injury or sometimes following spinal cord injuries). However, the pathogenesis of NPO is not entirely clear. In the majority of cases, early or classic symptoms of pulmonary oedema are evident from several minutes up to several hours after CNS damage. Dyspnoea, chest pain, bloody expectoration are observed shortly after consciousness disorders, although NPO may occasionally be diagnosed on the basis of chest x-ray in patients with no clinical symptoms. Tachypnoea, tachycardia, rales without any changes in cardiac system are usually observed during physical examination. The ailments withdraw quickly in the majority of patients, who may require oxygen therapy at most.


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Article Type: Original Article

EUR J GEN MED, 2007 - Volume 4 Issue 1, pp. 25-32

Publication date: 15 Jan 2007

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