• Heart, lung & circulation · Dec 2012

    Case Reports

    Neurocardiogenic pulmonary oedema: initial presentation of multiple sclerosis.

    • James R Padley, Michael P Feneley, Christopher S Hayward, and Romesh Markus.
    • St Vincent's Hospital, Australia.
    • Heart Lung Circ. 2012 Dec 1;21(12):853-5.

    AbstractA previously healthy 20 year-old male presented with headache, acute pulmonary oedema and left ventricular dysfunction requiring intensive care admission. Cardiorespiratory symptoms resolved within three days; however, the patient complained of persistent headache and had gait unsteadiness. Magnetic resonance imaging showed a large demyelinating lesion in the caudal medulla with scattered cerebral plaques. The patient was subsequently diagnosed with multiple sclerosis. This case describes a rare initial presentation of multiple sclerosis with acute pulmonary oedema and cardiac dysfunction secondary to a lower brainstem lesion.Crown Copyright © 2012. Published by Elsevier B.V. All rights reserved.

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