Symptomatic spontaneous pneumocephalus after spinal fusion for spondylolisthesis

Ayberk, Gıyas; Yaman, Mesut Emre; Özveren, Mehmet Faik

doi:10.1016/j.jocn.2009.10.033

Cited by 19 publications

(18 citation statements)

References 13 publications

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“…Symptomatic spontaneous pneumocephalus after a spinal fusion for spondylolisthesis without injury to the dura mater is rare. [ 2 ] Pneumocephalus is not regarded as recognized complication of dorsal laminectomy. There are only a few reports of tension pneumocephalus after spinal operations.…”

Section: Discussionmentioning

confidence: 99%

Pneumocephalus following dorsal laminectomy: An unusual complication

2017

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A 16-year-old male presented at Bangur Institute of Neurosciences Neurosurgery Outpatient Department with history of gradually progressive paraparesis for 5 months associated with stiffness, urinary hesitancy, and urge incontinence for last 2 months. Magnetic resonance imaging spine was done which showed cystic intradural extramedullary space occupying lesion at D4/D5 to D9. Patient had 2 episodes of generalized tonic–clonic seizure on the day 4. Computed tomography scan showed pneumocephalus. Histopathological examination report was that of nonspecific inflammatory cyst.

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Section: Discussionmentioning

confidence: 99%

Pneumocephalus following dorsal laminectomy: An unusual complication

2017

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“… 3) The most common causes of pneumocephalus are trauma, neoplasm, infection, and diagnostic and therapeutic procedures, such as lumbar puncture or surgical intervention. 5) Pneumocephalus usually occurs after fracture of the skull base, temporal bone, or paranasal sinus. Spontaneous pneumocephalus has also been observed after anesthetic intervention.…”

Section: Discussionmentioning

confidence: 99%

“… 4 , 6) Ayberk et al reported a symptomatic pneumocephalus case after a spinal fusion that did not involve dural tears. 5) They concluded that increased intra-abdominal pressure due to the prone position may have caused the tension pneumocephalus. In our case, we postulate that the end of the giant, inferiorly migrated, sequestered, and calcified disc fragment may have been located intradurally and tear the arachnoid at the axilla of the root sleeve; therefore, as we removed the disc fragment, a dural and arachnoid tear occurred at the anterior part of the spinal cord.…”

Section: Discussionmentioning

confidence: 99%

Pneumocephalus and Pneumorrhachis after Spinal Surgery: Case Report and Review of the Literature

Karavelioğlu

Eser

Haktanır

2014

Neurol. Med. Chir.(Tokyo)

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Trauma is a common cause of pneumocephalus, or air in the cranial cavity, and of pneumorrhachis, or the presence of intraspinal air. After spinal surgery, occurrence of pneumocephalus, especially with pneumorrhachis, is extremely rare. We report the case of a patient who developed pneumocephalus and pneumorrhachis after lumbar disc surgery and pedicle screw fixation. There was no cerebrospinal fluid leakage during surgery. On postoperative day 1, the patient complained of headache, nausea, and dizziness. Brain and lumbar computed tomography scans revealed pneumocephalus and pneumorrhachis. With conservative treatment, the patient's complaints resolved within 10 days.

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“…1,3 Different diagnostic procedures, mostly harmless, such as lumbar puncture, ventriculostomy and spinal anesthesia can cause the passage of air by an intrathecal route and lead to a significant pneumocephalus. 7 Barotrauma secondary to rapid changes in air pressure can turn benign, subclinical cases of pneumocephalus into symptomatic of tension pneumocephalus which require urgent treatment and evacuation.…”

Section: Discussionmentioning

confidence: 99%

“…1 The first case of pneumocephalus was described by Lecat in 1866, but the term pneumocephalus was first used by Wolff in 1914, to describe this infrequent condition. 2,3 Pneumocephalus is generally associated to lesions of the cranial vault following trauma, facial trauma and as a consequence of neurosurgery or otolaryngology procedures for the treatment of skull base tumors. It is infrequent after spinal surgery, and in very few occasions it can appear spontaneously.…”

Section: Introductionmentioning

confidence: 99%