Fatal brain swelling due to superior vena cava syndrome

Alejandro Rabinstein, E. F M Wijdicks

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Introduction: Brain swelling is an unusual complication of superior vena cava syndrome. It is unknown if the condition is reversible. Case: We present a 58 year old woman with metastatic colon carcinoma presenting with facial swelling and upper trunk ecchymosis, rapid onset of coma and extensor posturing on admission. CT showed diffuse cerebral edema and evolving parenchymal hypodensities. An occlusive thrombus at the site of an indwelling intravascular access was successfully removed with thrombectomy,but the patient progressed to brain death. Conclusion: This is the first case of fatal cerebral edema from a superior vena cava syndrome. The underlying malignancy may have induced a clotting disorder.

Original languageEnglish (US)
Pages (from-to)91-92
Number of pages2
JournalNeurocritical Care
Volume10
Issue number1
DOIs
StatePublished - Feb 1 2009

Fingerprint

Superior Vena Cava Syndrome
Brain Edema
Ecchymosis
Thrombectomy
Brain Death
Coma
Colon
Thrombosis
Carcinoma
Neoplasms

Keywords

  • Brain edema
  • Coma
  • Superior vena cava syndrome

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine
  • Clinical Neurology

Cite this

Fatal brain swelling due to superior vena cava syndrome. / Rabinstein, Alejandro; Wijdicks, E. F M.

In: Neurocritical Care, Vol. 10, No. 1, 01.02.2009, p. 91-92.

Research output: Contribution to journalArticle

Rabinstein, Alejandro ; Wijdicks, E. F M. / Fatal brain swelling due to superior vena cava syndrome. In: Neurocritical Care. 2009 ; Vol. 10, No. 1. pp. 91-92.
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