DOI: 10.36347/sjmcr.2020.v08i02.040

Pages: 245-247

Aneurysmal arachnoid hemorrhage (AAH) is a rare disease common in the young female population and can cause many neurological complications, namely hydrocephalus, vasospasm and rebleeding. However, it can also lead to extra neurological complications, including cardiovascular failure, renal failure, metabolic disorders (hypokalaemia, hyperglycemia, dysnatremia) and acute respiratory distress syndrome (ARDS). We report a case of a 50-year-old patient who developed ARDS during her hospitalization in the resuscitation department for an AAH. The occurrence of this complication in these patients could be explained on one hand by an activation of the sympathetic nervous system hence the appointment of neurogenic pulmonary edema and on the other hand by the presence of a systemic inflammatory response syndrome ( SIRS), but future studies will be needed to elucidate these pathophysiological mechanisms. According to recent studies, the treatment of ARDS is based on a mechanical ventilation strategy that uses low volumes with high PEEP, while prone position is a therapeutic alternative but with the risk of increased intracranial pressure. The management of aneurysmal arachnoid haemorrhage relies on the control of as well as other factors responsible for delayed ischemia and aneurysm treatment.