Revista Espanola de Anestesiologia y Reanimacion 1998-May
[Pulmonary edema of neurogenic origin and transtentorial hernia during anesthesia induction in a child with ventriculoperitoneal shunt].
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Resum
We report the case of a 12-year-old boy with a peritoneal ventricular shunt who developed acute pulmonary edema of neurogenic origin after laryngoscopy and orotracheal intubation. Such maneuvers in the presence of diminished intracranial distensibility caused transtentorial herniation. Delayed diagnosis led to death in spite of appropriate treatment of postoperative complications.