Singapore Med J 2014; 55(3): e46-e48; http://dx.doi.org/10.11622/smedj.2014041
Tension pneumocephalus
Pulickal GG, Sitoh YY, Ng WH
Correspondence: Dr Geoiphy George Pulickal, geoiphy@gmail.com
ABSTRACT
Tension pneumocephalus is a rare but treatable neurosurgical emergency. Prompt and accurate diagnosis of tension pneumocephalus requires a high index of clinical suspicion corroborated by imaging. Herein, we describe a case of extensive tension pneumocephalus in a patient who had undergone transsphenoidal surgery and repair of the sellar floor, with subsequent successful decompression. This case report discusses the pertinent imaging features of tension pneumocephalus and its management.
Keywords: complication, sellar floor repair, tension pneumocephalus
Singapore Med J 2014; 55(3): e46–e48; http://dx.doi.org/10.11622/smedj.2014041
REFERENCES
| 1. Lin MB, Cheah FK, Ng SE, Yeo TT. Tension pneumocephalus and pneumorachis secondary to subarachnoid pleural fistula. Br J Radiol 2000; 73:325-7. |
| |
2. Michel SJ. The Mount Fuji sign. Radiology 2004; 232:449-50.
http://dx.doi.org/10.1148/radiol.2322021556 |
| |
3. Reasoner DK, Todd MM, Scamman FL, Warner DS. The incidence of pneumocephalus after supratentorial craniotomy. Observations on the disappearance of intracranial air. Anesthesiology 1994; 80:1008-12.
http://dx.doi.org/10.1097/00000542-199405000-00009 |
| |
4. Ishiwata Y, Fujitsu K, Sekino T, et al. Subdural tension pneumocephalus following surgery for chronic subdural hematoma. J Neurosurg 1988; 68:58-61.
http://dx.doi.org/10.3171/jns.1988.68.1.0058 |
| |
| 5. Shaikh N, Masood I, Hanssens Y, Louon A, Hafiz A. Tension pneumocephalus as complication of burr-hole drainage of chronic subdural hematoma: A case report. Surg Neurol Int 2010; 6:1.pii:27. |
| |
6. Satapathy GC, Dash HH. Tension pneumocephalus after neurosurgery in the supine position. Br J Anaesth 2000; 84:115-7.
http://dx.doi.org/10.1093/oxfordjournals.bja.a013368 |
| |
7. Artru AA. Nitrous oxide plays a direct role in the development of tension pneumocephalus intraoperatively. Anesthesiology 1982; 57:59-61.
http://dx.doi.org/10.1097/00000542-198207000-00019 |
| |
8. Raggio JF, Fleischer AS, Sung YF, Hoffman JC. Expanding pneumocephalus due to nitrous oxide anesthesia: case report. Neurosurgery 1979; 4:261-3.
http://dx.doi.org/10.1227/00006123-197903000-00014 |
| |
9. Lee LC, Lieu FK, Chen YH, Hung TH, Chen SF. Tension pneumocephalus as a complication of hyperbaric oxygen therapy in a patient with chronic traumatic brain injury. Am J Phys Med Rehabil 2012; 91:528-32.
http://dx.doi.org/10.1097/PHM.0b013e31824ad556 |
| |
10. Klopfenstein CE, Forster A, Suter PM. Pneumocephalus. A complication of continuous positive airway pressure after trauma. Chest 1980; 78:656-7.
http://dx.doi.org/10.1378/chest.78.4.656 |
