Pneumocephalus and Cerebrospinal Fluid Fistula Following Removal of a Superior Sulcus Tumor (Pancoast Tumor)

Management of pneumocephalus in a resource limited environment: Review from sub-Saharan Africa

“…Delayed cases have been known to present many years after surgery or trauma [2,12]. Headache and CSF rhinorrhoea were the most common presenting symptoms, as in other reports [1,2,10]. Seventy percent of CSF rhinorrhoea are expected to stop within 1 week of onset and the rest in the next 6 months.…”

“…Ventriculoperitoneal shunting has also been known to cause pneumocephalus; significant lowering of intracranial pressure following shunting causes unplugging of defects in the skull and dura resulting in fistula [7]. Other causes include spinal or epidural anaesthesia [8,9] and cardiothoracic surgeries [10,11].…”