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NEUROLOGY 1985;35:403
© 1985 American Academy of Neurology

Postictal pulmonary edema in children

John J. Mulroy, MD, John J. Mickell, MD, Timothy K. Tong, MD and John M. Pellock, MD

Children's Medical Center, Departments of Pediatrics and Neurology, Divisions of Pediatric Critical Care and Child Neurology, Medical College of Virginia, Virginia Commonwealth University, Richmond, VA.

Pulmonary edema complicating generalized tonic-clonic seizures has rarely been reported in children, although it has been well documented in adults. We report two patients, aged 8 and 9 years, who developed clinical and radiographic evidence of the condition. Fever, leuko-cytosis, and arterial hypoxemia are seen in the absence of cardiac dysfunction or infection. Rapid and complete recovery is to be expected if supportive therapy is instituted. Since these patients had no underlying cardiac pathology, control of the seizures will prevent further episodes.

Address correspondence and reprint requests to Dr. Mickell, Box 530 MCV Station, Richmond, VA 23298.

Accepted for publication July 17, 1984.

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