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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...

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Autores principales: Gonçalves, Mariangela B., Nunes, Cristian F., Melo, José O., Guimarães, Rodrigo D., Klescoski, João, Landeiro, José A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2012
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.
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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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