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October 1969

Pulmonary Edema as a Complication of Intracranial Disease

Author Affiliations

Washington, DC
From the Division of Surgery, Walter Reed Army Institute of Research, Washington, DC. Dr. Ducker is now with the Section of Neurosurgery, University of Michigan Medical Center, Ann Arbor, Mich; Dr. Simmons is now with the Department of Surgery, University of Minnesota Medical Center, Minneapolis; and Dr. Martin is now with the Department of Pathology, Duke University Medical Center, Durham, NC.

Am J Dis Child. 1969;118(4):638-641. doi:10.1001/archpedi.1969.02100040640020

PULMONARY EDEMA occasionally occurs as a response to intracranial disease in the absence of other etiologic agents. Even though a variety of central nervous system (CNS) conditions, including trauma,1-3 hemorrhage,3,4 neoplasm,1,5 and seizure disorders may be present, the common factor to all such cases seems to be a massive autonomic discharge due either to increased intracranial pressure or a seizure disorder.6-8

No previous reports have stressed the occurrence of this syndrome in children. The present paper is based on six cases of pulmonary edema associated with various CNS disorders.

Report of Cases  Case 1.—A 20-month-old boy was thrown from a car and immediately rendered unconscious. One hour later, a cephalhematoma was present over the left occiput, and intermittent spontaneous decerebrate posturing was observed. In response to pain, the patient made no movement on the left side but reacted on the right by purposeful withdrawal. A dilated

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