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Case Reports
. 2018 Jul 4:9:128.
doi: 10.4103/sni.sni_91_18. eCollection 2018.

Tension pneumocephalus from skull base surgery: A case report and review of the literature

Charlotte Yin  1 , Bi Yi Chen  2
Affiliations
Case Reports

Tension pneumocephalus from skull base surgery: A case report and review of the literature

Charlotte Yin et al. Surg Neurol Int. .

Abstract

Background: Tension pneumocephalus from skull base surgery is a rare occurrence that mandates urgent neurosurgical attention.

Case description: We describe a case of tension pneumocephalus secondary to an endoscopic endonasal resection of an adamantinomatous craniopharyngioma and how it was successfully managed at our institution.

Conclusion: Our experience reflects that definitive treatment of tension pneumocephalus is required with multilayered dural repair, but temporising measures should be used immediately to prevent neurological deterioration prior to the definitive repair.

Keywords: Dural repair; skull base surgery; tension pneumocephalus.

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Conflict of interest statement

There are no conflicts of interest to disclose. Informed consent Informed consent was obtained from the patient.

Figures

Figure 1
Figure 1
(a) Day 1 post-operative CTB; (b) Expanding pneumocephalus with mass effect; 1c: slight reduction in volume of pneumocephalus; 1d: significant reduction in size of pneumocephalus
See this image and copyright information in PMC

References

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