Two Cases of Delayed Tension Pneumocephalus

  • Hong, Won-Jin (Department of Neurosurgery, Gachon Medical School, Gil Medical Center) ;
  • Yoo, Chan-Jong (Department of Neurosurgery, Gachon Medical School, Gil Medical Center) ;
  • Park, Cheol-Wan (Department of Neurosurgery, Gachon Medical School, Gil Medical Center) ;
  • Lee, Sang-Gu (Department of Neurosurgery, Gachon Medical School, Gil Medical Center)
  • 발행 : 2005.01.31

초록

We describe two cases of tension pneumocephalus, one caused by ventriculoperitoneal shunt for communicating hydrocephalus, and the other caused by craniocerebral trauma. In the first case report, we examined the relationship between cerebrospinal fluid leakage and delayed onset tension pneumocephalus. The second case report, we addressed issues such as the diagnosis, management, and pathogenesis, as well as computerized tomography(CT) findings.

키워드

참고문헌

  1. Ahn YH, Min BK, Suk JS, Choi DY : Subdural tension pneumocephalus following surgery. J Korean Neurosurg Soc 17 : 1455-1462, 1988
  2. Alison S, Paul P : Tension pneumocephalus : a case report and literature review. J Clin Neurosci 6 : 418-424, 1999 https://doi.org/10.1016/S0967-5868(99)90040-1
  3. Arbit E, Shan J, Bedford R, Carlon G : Tension pneumocephalus : treatment with controlled decompression via a closed water-seal drainage system. J Neurosurg 74 : 139-142, 1991 https://doi.org/10.3171/jns.1991.74.1.0139
  4. Asai A, Yamada H, Tsutsumi K, Takakura K : Tension pneumocephalus after clipping of a carotid-ophthalmic artery aneurysm via an interhemispheric approach : Case Report. Neurosurgery 23 : 650-654, 1988 https://doi.org/10.1227/00006123-198811000-00020
  5. Chiari H : uber einen fall von lufta sammlung in den ventrikeln des menschliche gehirns. Z Heilkd 5 : 383-390, 1884
  6. Choi BY, Lee KC, Choi JU, Chung SS, Lee HJ : Traumatic pneumocephalus diagnosed with computed tomography (CT). J Korean Neurosurg Soc 10 : 199-203, 1981
  7. Choi KB, Kong CB, Kim HD : Tension pneumocephalus after transsphenoidal surgery for a giant pituitary tumor. J Korean Neurosurg Soc 32 : 470-473, 2002
  8. Dandy WE : Ventriculography following the injection of air into the cerebral ventricles. Ann Surg 68 : 5-11, 1918 https://doi.org/10.1097/00000658-191807000-00002
  9. Ectors L : L'hematome sousdural chronique. Taitement chirurgical. Acta Chir Belg 61 : 570-606, 1962
  10. Ectors P, Martens F : Postoperative tension pneumocephalus. J Neurosurg 69 : 641-642, 1988
  11. Ishiwata Y, Fujitsu K, Sekino T, Fujino H, Kubokura T, Tsubone K, et al : Subdural tension pneumocephalus following surgery for chronic subdural hematoma. J Neurosurg 68 : 58-61, 1988 https://doi.org/10.3171/jns.1988.68.1.0058
  12. Jelsma F : Cranial aerocele. Am J Surg 87 : 437-451, 1954 https://doi.org/10.1016/S0002-9610(54)90147-6
  13. Kessler LA, Stern WZ : The ventriculopleural shunt procedure for hydrocephalus : case report of an unusual complication. J Pediatr 60 : 418-420, 1962 https://doi.org/10.1016/S0022-3476(62)80069-9
  14. Kim JW, Lee SH, Lee KS, Ko KC, Kim HK, Khang CG, et al : Posttraumatic tension pneumocephalus of delayed onset. J Korean Neurosurg Soc 31 : 289-292, 2002
  15. Luckett WH : Air in the ventricles of the brain, following a fracture of the skull. Surg Gynecol Obstet 17 : 237-240, 1913
  16. Osborn AG, Daines JH, Wing SD : Intracranial air on computerized tomography. J Neurosurg 48 : 355-359, 1978 https://doi.org/10.3171/jns.1978.48.3.0355
  17. Peter MB, James MD, Raymond ND, Kenneth RD : Tension pneumocephalus of the cranial subdural space. Neurosurgery 5 : 368-370, 1979 https://doi.org/10.1227/00006123-197909000-00012
  18. Pitts LH, Wilson CB, Dedo HH, Weyand R : Pneumocephalus following ventriculoperitoneal shunt. J Neurosurg 43 : 631-693, 1975 https://doi.org/10.3171/jns.1975.43.5.0631
  19. Pop PM, Thompson JR, Zinke DE : Tension pneumocephalus. J Comput Assist Tomogr 6 : 694-901, 1982 https://doi.org/10.1097/00004728-198210000-00005
  20. Wolff E : Luftansammlung im rechten seitenventrikel des gehirns. (pneumozefhalus). Munch Med Wochenschr 61 : 899, 1914
  21. Zasler ND : Posttraumatic tension pneumocephalus. J Head Trauma Rehabil 14 : 81-84, 1999 https://doi.org/10.1097/00001199-199902000-00009