Neurogenic pulmonary edema and large negative T waves associated with subarachnoid hemorrhage

We describe a 72-year-old woman with hypertension who developed acute neuro genic pulmonary edema and giant negative T waves on electrocardiography (EC G) due to subarachnoid hemorrhage. The patient was alert and complained of precordial chest discomfort, dyspnea and shoulder stiffness. Echocardiograp hy demonstrated normal left ventricle contraction with hypertrophy. Compute d tomography (CT) and subsequent cerebral angiography revealed subarachnoid hemorrhage and saccular aneurysm at the anterior communicating artery. It is important to consider the possibility of subarachnoid hemorrhage when a patient shows pulmonary edema and ECG abnormalities even without typical cl inical signs of subarachnoid hemorrhage.