Hyperbaric oxygen therapy of air embolus in the cerebral venous sinuses after intracranial surgery: a case report
- PMID: 29696503
- DOI: 10.1007/s00701-018-3537-5
Hyperbaric oxygen therapy of air embolus in the cerebral venous sinuses after intracranial surgery: a case report
Abstract
A case with cerebral venous air embolism (CVAE) after neurosurgery and treated with hyperbaric oxygen therapy (HBOT) is presented. This is a rare and potentially fatal complication that neurosurgeons should be aware of. A 52-year-old male was diagnosed with an intracerebral hematoma. An emergency evacuation of the hematoma was performed with a craniotomy and the postoperative CT scan showed a complete evacuation of the hematoma, but it also revealed a CVAE. The patient was immediately referred to HBOT and received three sessions within 48 h. The CT scan after the first HBOT showed no CVAE, venous thrombosis, or new hematoma.
Keywords: Central venous air embolism; Hyperbaric oxygen treatment; Intracerebral hematoma; Intracranial surgery.
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