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Multiple Sclerosis
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*Autoimmune Diseases
*Multiple Sclerosis
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Acute pulmonary oedema: presenting symptom of multiple sclerosis

F Crawley

West London Neurosciences Centre, Charing Cross Hospital, Fulham Palace Road, London, UK

I Saddeh

Department of Neurology, Wessex Neurological Centre, Southampton General Hospital, Tremona Road, Southampton, SO9 4XY, UK

S Barker

Department of Neuroradiology, Wessex Neurological Centre, Southampton General Hospital, Tremona Road, Southampton, SO9 4XY, UK

H Katifi

Department of Neurology, Wessex Neurological Centre, Southampton General Hospital, Tremona Road, Southampton, SO9 4XY, UK

Acute pulmonary oedema and headache are both common. The former is usually cardiogenic in origin. Severe headache of sudden onset in a young person may be suggestive of subarachnoid headache. We describe a 24-year-old man who presented with headache and pulmonary oedema, finally ascribed to multiple sclerosis. This is the first report of neurogenic pulmonary oedema as the first symptom of multiple sclerosis. We review the neuroanatomical basis and experimental evidence for neurogenic pulmonary oedema.

Key Words: multiple sclerosis • pulmonary oedema • nucleus tractus solitarius

Multiple Sclerosis, Vol. 7, No. 1, 71-72 (2001)
DOI: 10.1177/135245850100700112
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