| Tension pneumocephalus as complication of burr-hole drainage of chronic subdural hematoma: A case report. | |
| | |
MedLine Citation:
|
PMID: 20847909 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
BACKGROUND: Pneumocephalus is the presence of air in the cranial cavity. When this intracranial air causes increased intracranial pressure and leads to neurological deterioration, it is known as tension pneumocephalus (TP). TP can be a major life-threatening postoperative complication, especially after evacuation of chronic subdural hematoma. We report a case of TP after evacuation of chronic subdural hematoma and review the literature. CASE DESCRIPTION: A 70-year-old man developed right-sided weakness after being admitted with minor head trauma a few weeks earlier. He was found to have a chronic subdural hematoma and underwent burr-hole evacuation. On day 3, he suddenly deteriorated and needed intubation and ventilation. Computerized tomography (CT) of the brain showed typical Mount Fuji's sign due to TP. Immediately, 20-30 mL of air was aspirated from the intracranial fossa, and a catheter drain was inserted. The patient became fully awake after few hours and was extubated successfully. The drain was removed on day 5, and he was transferred to the ward before being discharged home. CONCLUSION: TP after evacuation of a chronic subdural hematoma is a neurosurgical emergency and needs immediate resuscitation and therapy; hence it is of vital importance that all acute-care physicians, intensivists and neurosurgeons be aware of this clinical emergency. |
| | |
Authors:
|
Nissar Shaikh; Irfan Masood; Yolande Hanssens; André Louon; Abdel Hafiz |
Related Documents
:
|
19766429 - Lactobacillus rhamnosus hepatic abscess associated with mirizzi syndrome: a case report... 16024249 - Fasciolosis (liver fluke) of the breast in a male patient: a case report. 8446229 - A rare cause of a hepatic abscess: diverticulitis of the ileum. 17330539 - Contribution of surgical evacuation of a large subgaleal hematoma to the resolution of ... 12572599 - Incidental tubo-ovarian abscess at abdominal delivery: a case report. 17692639 - Portal vein arterialization in hepatobiliary surgery and liver transplantation. 14597059 - Intrusion of an encircling buckle after retinal detachment surgery. 21428189 - Clinical analysis based on 208 patients with microtia (especially reviewed oculo-auricu... 9544909 - Presenting signs of retinoblastoma. |
Publication Detail:
|
Type: Journal Article Date: 2010-07-06 |
Journal Detail:
|
Title: Surgical neurology international Volume: 1 ISSN: 2152-7806 ISO Abbreviation: Surg Neurol Int Publication Date: 2010 |
Date Detail:
|
Created Date: 2010-09-17 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101535836 Medline TA: Surg Neurol Int Country: India |
Other Details:
|
Languages: eng Pagination: - Citation Subset: - |
Affiliation:
|
Department of Anesthesia/SICU, Hamad Medical Corporation, Doha, Qatar. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Perioperative fatal embolic cerebrovascular accident after radical prostatectomy.
Next Document: Deformative stress associated with an abnormal clivo-axial angle: A finite element analysis.