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Neurogenic pulmonary edema (NPE) is defined as an acute pulmonary edema occurring after a central neurologic insult. It is associated with head injury and seizures, intracranial hemorrhage and stroke are among the other causes. Pathologies increasing intracranial pressure may cause excessive sympathetic discharge and lead to pulmonary vascular pressure changes and transcapillary fluid leakage. Hereby we present an acute respiratory failure in a 50-year old woman with subarachnoid hemorrhage (SAH) due to aneurysmal rupture of anterior communicating artery. The patient had a history of bronchial asthma and respiratory failure was thought to have occurred by radiocontrast induced airway hyper-responsiveness during cerebral angiography. No response to bronchodilator therapy, pinkish foamy sputum from the trachea, diffusely dense infiltrates on both lungs demonstrated by chest X-ray, normal echocardiography, and negative tracheal culture disproving pneumonia were among the factors leading to the diagnosis of NPE. Consistent with the diagnosis, the patient rapidly improved with mechanical ventilation and subsequent removal of the intracranial hematoma. After evaluation of the clinical course of our case, we recommend that NPE should be considered in the differential diagnosis of acute respiratory failure accompanying SAH. Keywords: Neurogenic pulmonary edema, subarachnoid hemorrhage ÖzetNörojenik pulmoner ödem, santral nörojenik travma sonrası oluşan akut pulmoner ödem tablosudur. Kafa travması ile ilişkilidir ve nöbetler, intrakraniyal kanama ve inme diğer

Aim. Bibliometric studies can be performed to evaluate the quantitative scientific performance on a specific topic via evaluating the accumulation of scientific data. Interpreting quantitative performance of a country with respect to bibliometric analyses is also an important way to assess the quality and quantity of that country's contribution to the distribution of medical data about a topic. In this study, we aimed to make a quantitative analysis of the scientific publications related to anesthesia and cesarean delivery; and also to investigate publications originating from Turkish institutions and authors, which are published in Expanded covered medical journals. Method. We retrospectively searched papers published in the field of anesthesia and cesarean delivery up to November 2012 by using the Web of Science software. Papers that were published in Science Citation Index Expanded covered journals were taken into account. Results. Web of Science based search through the database of SCI Expanded up to November 2012, revealed 4637 English scientific documents related to anesthesia and cesarean delivery. Among 4637 English publications, we found that 1262 (27.2%) from United States of America, followed by England (16.9%), Canada (6.5%), Germany (5.6%), France (4.2%), Australia (4.1%), and Turkey (3%). All other countries had a contribution smaller than 3%. Turkey had 458 (3%) publications and ranked 7 in this list. The international scientific repertory was relatively poor on our topic before 1991. On the other hand, we observed an international acceleration with respect to the publication number after 2000s. Publications from Turkey showed up only after 1996. Turkey's contribution to international repertory seems to speed up after 2002. The document types up to the date of the study (November 2012) classified by Web of Science in English SCI Expanded-based were mostly articles (71.8%) and letters (9.7%). The main source of publications from all over the world was the university hospitals. Conclusion. In conclusion, we observed that the quantity and quality of research in the field of anesthesia for cesarean delivery has increased rapidly in the last decade. Turkey made a remarkable contribution to this repertory especially during the last decade. Anesthesia for cesarean section as a unique procedure having a potential to be harmful for mother and fetus still needs several investigations to improve maternal and neonatal health.