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Tension pneumoventricle after resection of a fourth ventricle choroid plexus papilloma: An unusual postoperative complication
BACKGROUND: Pneumocephalus is defined as the presence of air within the intracranial vault. A common complication of head trauma and surgery, pneumocephalus is usually related to ventricular shunts, craniotomies, and surgery in the sitting position. Tension (symptomatic) pneumoventricle is a rare en...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3512331/ https://www.ncbi.nlm.nih.gov/pubmed/23226603 http://dx.doi.org/10.4103/2152-7806.102325 |
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author | Gonçalves, Mariangela B. Nunes, Cristian F. Melo, José O. Guimarães, Rodrigo D. Klescoski, João Landeiro, José A. |
author_facet | Gonçalves, Mariangela B. Nunes, Cristian F. Melo, José O. Guimarães, Rodrigo D. Klescoski, João Landeiro, José A. |
author_sort | Gonçalves, Mariangela B. |
collection | PubMed |
description | BACKGROUND: Pneumocephalus is defined as the presence of air within the intracranial vault. A common complication of head trauma and surgery, pneumocephalus is usually related to ventricular shunts, craniotomies, and surgery in the sitting position. Tension (symptomatic) pneumoventricle is a rare entity associated with significant clinical morbidity. CASE DESCRIPTION: We report an unusual case of a 15-year-old girl with tension pneumoventricle developed shortly after removal of a choroid plexus papilloma of the fourth ventricle by a midline suboccipital approach while in the sitting position. CONCLUSION: The presence of a cerebrospinal fluid (CSF) diversion system that causes a decrease in intracranial pressure and the existence of a craniodural defect with or without an obvious CSF leak may be the cause of tension pneumoventricule. According to our present understanding, this is the first report of this peculiar complication of fourth ventricular surgery. We discuss clinical manifestations, surgical management, contributing factors, and mechanisms involved in the pathogenesis of tension pneumoventricle. |
format | Online Article Text |
id | pubmed-3512331 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-35123312012-12-05 Tension pneumoventricle after resection of a fourth ventricle choroid plexus papilloma: An unusual postoperative complication Gonçalves, Mariangela B. Nunes, Cristian F. Melo, José O. Guimarães, Rodrigo D. Klescoski, João Landeiro, José A. Surg Neurol Int Case Report BACKGROUND: Pneumocephalus is defined as the presence of air within the intracranial vault. A common complication of head trauma and surgery, pneumocephalus is usually related to ventricular shunts, craniotomies, and surgery in the sitting position. Tension (symptomatic) pneumoventricle is a rare entity associated with significant clinical morbidity. CASE DESCRIPTION: We report an unusual case of a 15-year-old girl with tension pneumoventricle developed shortly after removal of a choroid plexus papilloma of the fourth ventricle by a midline suboccipital approach while in the sitting position. CONCLUSION: The presence of a cerebrospinal fluid (CSF) diversion system that causes a decrease in intracranial pressure and the existence of a craniodural defect with or without an obvious CSF leak may be the cause of tension pneumoventricule. According to our present understanding, this is the first report of this peculiar complication of fourth ventricular surgery. We discuss clinical manifestations, surgical management, contributing factors, and mechanisms involved in the pathogenesis of tension pneumoventricle. Medknow Publications & Media Pvt Ltd 2012-10-13 /pmc/articles/PMC3512331/ /pubmed/23226603 http://dx.doi.org/10.4103/2152-7806.102325 Text en Copyright: © 2012 Gonçalves MB. http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Case Report Gonçalves, Mariangela B. Nunes, Cristian F. Melo, José O. Guimarães, Rodrigo D. Klescoski, João Landeiro, José A. Tension pneumoventricle after resection of a fourth ventricle choroid plexus papilloma: An unusual postoperative complication |
title | Tension pneumoventricle after resection of a fourth ventricle choroid plexus papilloma: An unusual postoperative complication |
title_full | Tension pneumoventricle after resection of a fourth ventricle choroid plexus papilloma: An unusual postoperative complication |
title_fullStr | Tension pneumoventricle after resection of a fourth ventricle choroid plexus papilloma: An unusual postoperative complication |
title_full_unstemmed | Tension pneumoventricle after resection of a fourth ventricle choroid plexus papilloma: An unusual postoperative complication |
title_short | Tension pneumoventricle after resection of a fourth ventricle choroid plexus papilloma: An unusual postoperative complication |
title_sort | tension pneumoventricle after resection of a fourth ventricle choroid plexus papilloma: an unusual postoperative complication |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3512331/ https://www.ncbi.nlm.nih.gov/pubmed/23226603 http://dx.doi.org/10.4103/2152-7806.102325 |
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