Laringospazm Sonrası Gelişen Negatif Basınçlı Akciğer ödemi

Öz

Laringospazm, postoperatif periyodda nadir karşılaşılmayan bir durumdur. Eğer erken fark edilip tedavi edilir ise geçicidir. Buna rağmen, bazı nadir vakalarda tanı ve tedavide geç kalınırsa yüksek morbitide, desatürasyon, Negatif Basınçlı Pulmoner Ödem (NBPÖ) ve mortalite riski ile ilişkili olabilir. Bu olguda genç sağlıklı bir erkekte laringospazm sonrası gelişen NBPÖ ve ARDS nedeni ile yoğun bakım ünitesinde tedavi edilen olgunun sunulması amaçlandı.Negative pressure pulmonary edema following laryngospasmLaryngospasm is not an uncommon event in postoperative period.It is temporary if diagnosed and treated early.However in some rare cases;it may be related to high morbidity,desaturation, negative pressure pulmonary edema(NPPE) and the risk of mortality if a delay occurs in the diagnosis and treatment. We aimed to present here a case of a young and healty male who developed negative pressure pulmonary edema(NPPE) and ARDS following laryngospasm and treated in intensive care unit.

Anahtar Kelimeler

• Laringospazm, Negatif Basınçlı Akciğer Ödemi Laryngospasm, Negative pressure pulmonary edema

Negative pressure pulmonary edema following laryngospasm

Abstract

The characteristic clinical features of Hirayama disease are young age at onset, sporadic occurrence, male preponderance, wasting and weakness confined to a single or bilaterally upper limb without involvement of cranial nerves, pyramidal tracts, sensory, cerebellar or extrapyramidal systems. A 22-year-old girl was presented with slowly progressive weakness of her upper limbs especially on her right side like a lower motor neuron syndrome. She had a car accident one year ago. She had a complaint of weakness on her left side for last six months. No intervertebral disc herniation was present, but there was an evidence of old traumatic injury. Here, we presented a rare case of Hirayama disease after a trauma.

Keywords

• Trauma, Hirayama