Neurogenic Pulmonary Edema aka Non Cardiogenic Pulmonary Edema

  • subtype of non-cardiogenic pulmonary edema,
    • type of acute respiratory distress syndrome
  • Caused by
    • vir
    • subarachnoid hemorrhage
    • traumatic brain injury
    • seizures
    • ARDS

Associated with Brain Events

Normal CXR from the past of a patient with current history of seizures and acute subdural hemorrhages, and cerebral edema in respiratory distress.
Ashley Davidoff MD TheCommonVein.net bilateral subdurals brain edema 001
Patient with history of seizures and acute subdural hemorrhages, and cerebral edema in repiratory distress. Ct shows loss of sulci and gyri consistent with cerebral edema
Ashley Davidoff MD TheCommonVein.net bilateral subdurals brain edema 003
Patient with history of seizures and acute subdural hemorrhages, and cerebral edema in respiratory distress. CXR shows acute interstitial edema consistent with neurogenic pulmonary edema (non cardiogenic pulmonary edema)
Ashley Davidoff MD TheCommonVein.net bilateral subdurals brain edema 004
Hemorrhagic Cerebellar Infarct
Hemorrhagic cerebellar infarct  and non cardiogenic pulmonary edema
001 60 head CT
Ashley Davidoff TheCommonVein.net
Hemorrhagic cerebellar infarct non cardiogenic pulmonary edema
002 60 head CXR
Ashley Davidoff TheCommonVein.net
ARDS
HIV and Fournier Gangrene
ARDS Adult respiratory Distress Syndrome
Frontal CXR of a 35 year old man with HIV, and Fournier gangrene presents with ongoing respiratory distress
The image reveals diffuse bilateral multifocal pneumonic infiltrates involving upper and lower lungs bilaterally
Ashley Davidoff MD TheCommonVein.net 284 Lu 136502
ARDS
Sickle Cell Crisis

ARDS Sickle Cell Crisis
The CXR and CT in this 26 year old male in sickle cell crisis shows diffuse and symmetrical ground glass changes with subpleural sparing best observed in images b and d. The bony changes are  characterized by bilateral avascular necrosis of the hips (b) and diffuse sclerosis with fish mouth deformity of the thoracic and lumbar spine (e). The spleen is extremely small but still perfusing (e)
Ashley Davidoff TheCommonVein.net b11662-01L

Diffuse Ground Glass Changes and Subpleural Sparing
ARDS Sickle Cell Crisis
The CXR in this 26 year old male in sickle cell crisis shows diffuse and symmetrical ground glass changes with subpleural sparing
Ashley Davidoff TheCommonVein.net b11662-02

ARDS Trauma

ARDS secondary to Trauma
CXR and CT show diffuse ground glass changes of the lungs with some regions of focal consolidation and subpleural sparing. The subpleural sparing is better seen in the lower panels in the left lung. Right sided pleural effusion is present
Ashley Davidoff
TheCommonVein.net b11625