Pulmonary Edema and Stunned Myocardium in Subarachnoid Hemorrhage
Ryan Nauma b c✉, Asia Filatova b c, Kettia Alusma-Hibberta b c, Patricio S Espinosaa b c
- aOsteopathy, West Virginia School of Osteopathic Medicine, Lewisburg, USA
- bNeurology, Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, USA
- cNeurology, Marcus Neuroscience Institute, Boca Raton Regional Hospital, Boca Raton, USA
- ✉Corresponding author
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Abstract
Aneurysmal subarachnoid hemorrhage is a life-threatening event that can cause permanent disability. This life-threatening event can be further complicated by subsequent cardiac and pulmonary disability. The presence of a neurogenic cardiomyopathy and pulmonary edema increases the morbidity and mortality of patients who suffer from aneurysmal subarachnoid hemorrhage. In this paper, we discuss a 39-year-old woman who presented to the emergency department (ED) with a chief complaint of a pounding headache with associated nausea and vomiting for the past three days. She had a past medical history significant only for migraines. During her stay in the ED, she began to exhibit signs of altered consciousness, hemoptysis, and respiratory compromise. Neuroimaging showed evidence of subarachnoid hemorrhage. The exact source of her subarachnoid hemorrhage could not be located with neuroimaging or angiography. Her clinical course was complicated by pulmonary edema and neurogenic stunned myocardium, and is still ongoing.
TL;DRA 39-year-old woman who presented to the emergency department (ED) with a chief complaint of a pounding headache with associated nausea and vomiting for the past three days and began to exhibit signs of altered consciousness, hemoptysis, and respiratory compromise. (Semantic Scholar)