Postoperative brain stem tension pneumocephalus causing transient locked-in syndrome.

Abstract:

:The incidence of pneumocephalus after supratentorial craniotomy has been reported to be as high as 100%. However, transformation of postoperative pneumocephalus into tension pneumocephalus (symptomatic intracranial air) is a rather rare phenomenon. Tension pneumocephalus after posterior fossa surgery is reported mainly when the surgery is performed in a sitting position. We hereby report on a patient who developed brain-stem tension pneumocephalus in the early postoperative period after posterior fossa craniotomy for an exophytic brainstem astrocytoma, operated in the prone position. A complete locked-in syndrome resolved following surgical relief of the trapped air.

journal_name

Pediatr Neurosurg

journal_title

Pediatric neurosurgery

authors

Biyani N,Silbiger A,Ben-Ari J,Constantini S

doi

10.1159/000106394

subject

Has Abstract

pub_date

2007-01-01 00:00:00

pages

414-7

issue

5

eissn

1016-2291

issn

1423-0305

pii

000106394

journal_volume

43

pub_type

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