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Tension pneumocephalus from skull base surgery: A case report and review of the literature

BACKGROUND: Tension pneumocephalus from skull base surgery is a rare occurrence that mandates urgent neurosurgical attention. CASE DESCRIPTION: We describe a case of tension pneumocephalus secondary to an endoscopic endonasal resection of an adamantinomatous craniopharyngioma and how it was successf...

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Detalles Bibliográficos
Autores principales: Yin, Charlotte, Chen, Bi Yi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6044139/
https://www.ncbi.nlm.nih.gov/pubmed/30105126
http://dx.doi.org/10.4103/sni.sni_91_18
Descripción
Sumario:BACKGROUND: Tension pneumocephalus from skull base surgery is a rare occurrence that mandates urgent neurosurgical attention. CASE DESCRIPTION: We describe a case of tension pneumocephalus secondary to an endoscopic endonasal resection of an adamantinomatous craniopharyngioma and how it was successfully managed at our institution. CONCLUSION: Our experience reflects that definitive treatment of tension pneumocephalus is required with multilayered dural repair, but temporising measures should be used immediately to prevent neurological deterioration prior to the definitive repair.