Postpartum intraventricular pneumocephalus following epidural anaesthesia

Yesilyurt, Mustafa; Dostbil, Ayşenur; Sakçı, Zakir; İnce, İlker; Oğul, Hayri

doi:10.12968/hmed.2020.0566

Cited by 2 publications

(2 citation statements)

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“…Although trauma represents its most common etiology, TP may occur secondary to neurosurgical approaches, as it was with our patient [4] and even secondary to anesthetic procedures and infections [5,6]. Pneumocephalus is a challenging diagnosis to be done based on clinical manifestations alone.…”

Section: Discussionmentioning

confidence: 73%

Central nervous system air pressure: A tension dilemma

Porto¹,

Beltrão²,

Lima³

et al. 2022

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Introduction: Tension pneumocephalus may lead to an increase in intracranial pressure and rapid neurologic deterioration and death. Therefore, this condition should be approached as a neurosurgical emergency.Case Report: A 34-year-old male was admitted for resection of a relapsed meningioma. At the time, the patient complained of bilateral visual loss and intense headaches. A transsphenoidal approach was performed and the tumor's left portion was completely resected. The tumor's right portion was adhered to the ipsilateral carotid artery and optic nerve structures. Its complete removal was unachievable. In the next days, he experienced multiple complications such as worsening amaurosis, vascular thrombosis, and a tension pneumocephalus was diagnosed on a computed tomography (CT) scan after physical exam showed signs of elevated intracranial pressure. He underwent an urgent external ventricular derivation and, the next days, multiple interventions were deemed necessary due to a recrudescent pneumocephalus

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