Tension Pneumocephalus after Endoscopic Paranasal Sinus Surgery

Yıl 2017, Cilt: 1 Sayı: 3, 82 - 84, 01.09.2017

Serdar Çevik Ulaş Yüksel Hakan Hanımoğlu

https://doi.org/10.5152/jbachs.2017.239

Öz

Tension pneumocephalus TP which produces increased intracranial pressure and leads to neurological deterioration is a rare but life-threatening complication. A 59-year-old male patient who had undergone endoscopic sinus surgery was admitted to the emergency room with severe headache, nausea, and vomiting. Cranial computed tomography revealed pneumocephalus. Endoscopic surgery under general anesthesia was performed again, and a dural tear at the crista galli was identified and repaired using an autograft and fibrin glue. In same session, burr-hole drainage was also performed. He recovered after few days and was discharged. Therefore, following endoscopic sinus surgery, surgeons should be aware of the development of pneumocephalus, a rare but life-threatening complication

Anahtar Kelimeler

Ball-valve, inverted bottle, tension pneumocephalus, endoscopic sinus surgery

Kaynakça

• Kim YH, Lee WI, Park MN, Choi HS, et al. Otogenic pneumocephalus associated with a ventriculoperitoneal shunt. Clin Exp Otorhinolar- yngol 2009; 2:203-206. [CrossRef]
• Shaikh N, Masood I, Hanssens Y, Louon A, Hafiz A. Tension pneumo- cephalus as complication of burr-hole drainage of chronic subdural hematoma: A case report. Surg Neurol Int 2010; 1:27. [CrossRef]
• Altinörs N, Arda N, Kars Z,et al. Tension pneumocephalus after transsphenoidal surgery: case report. Neurosurgery 1988; 23:516- 518. [CrossRef]
• Freedman HM, Kern EB. Complications of intranasal ethmoidecto- my: a review of 1,000 consecutive operations. Laryngoscope 1979; 89:421-34. [CrossRef]
• Çelikoğlu E, Hazneci J, Ramazanoğlu AF. Tension pneumocephalus causing brain herniation after endoscopic sinus surgery. Asian J Neurosurg 2016; 11:309-10. [CrossRef]
• Singh A, Alvarez J. Spontaneous otogenic intracerebral pneumo- cephalus. West J Emerg Med 2010; 11:107.
• Hagr A, Bance M. Intra-parenchyma Pneumocephalus: a Compli- cation of Cochlear Implant. Int J Health Sci 2007; 1:103-6.
• Monas J, Peak DA: Spontaneous tension pneumocephalus result- ing from a scalp fistula in a patient with a remotely placed ventric- uloperitoneal shunt. Ann Emerg Med 2010; 56:378-81 [CrossRef]
• Nejera Aguilar E, Castle Ramirez M, Bollar Zabala A, Urculo Bare-o E. Delayed spontaneous pneumocephalus in ventriculoperitoneal shunting: two case reports and literature review. Neurocirugia 2014; 25:86-9. [CrossRef]
• Yüceer N, Cakíroğlu K, Erdoğan A, Gökalp HZ, Bağdatoğlu C. Ten- sion pneumocephalus after transsphenoidal surgery: two case re- ports. Acta Neurochir 1995; 137:58-61. [CrossRef]