Management of child after traumatic epidural hematoma with pulmonary edema and arrhythmia

Abstract

We present a case of severe neurogenic pulmonary edema and arrhythmia complicating management of a 7-year-old child with acute epidural hematoma and impending cerebral herniation. The underlying mechanisms for this are discussed as well as management of severe neurogenic pulmonary edema. We emphasize the need to recognize this rare complication early and institute prompt aggressive management.

Keywords

• epidural hematoma; long qt; neurogenic pulmonary edema; pediatric closed head injuries