keyword
https://read.qxmd.com/read/38510629/dural-reconstruction-with-or-without-a-bone-graft-of-paranasal-and-anterior-skullbase-malignancies-retrospective-single-center-analysis-of-11-cases-and-review-of-literature
#1
JOURNAL ARTICLE
Björn Sommer, Ina Konietzko, Maximilian Niklas Bonk, Tina Schaller, Bruno Märkl, Klaus Henning Kahl, Georg Stüben, Johannes Zenk, Ehab Shiban
INTRODUCTION: The reconstruction of frontobasal defects following oncologic resections of paranasal and anterior skull base (ASB) malignancies remains challenging. Ineffective reconstruction could lead to cerebrospinal fluid leak, meningitis, and tension pneumocephalus. RESEARCH QUESTION: Aim of this investigation was to analyse postoperative complication rates with or without bone graft for anterior skull base reconstruction. MATERIAL AND METHODS: In this retrospective study, we included patients following resection of paranasal and/or anterior skull base malignancies between October 2013 and December 2022...
2024: Brain Spine
https://read.qxmd.com/read/38385032/traumatic-tension-pneumocephalus-a-case-report-and-perspective-from-indonesia
#2
Alphadenti Harlyjoy, Michael Nathaniel, Aryandhito Widhi Nugroho, Kevin Gunawan
Traumatic tension pneumocephalus is a rare and life-threatening complication of traumatic brain injury necessitating prompt diagnosis and neurosurgical treatment. Nevertheless, various possibilities for impedance in timely management, including patient-related barriers are commonly experienced in low-and middle-income countries setting. Here we presented a delay of management in traumatic tension pneumocephalus case due to initial refusal for emergency surgery. A 59-year-old male presented to the emergency department following a motorcycle accident fully alert with no neurological deficit...
2024: Frontiers in Neurology
https://read.qxmd.com/read/38330284/teaching-neuroimage-tension-pneumocephalus-after-meningioma-resection
#3
JOURNAL ARTICLE
Ailing E Yang, Max S Shutran, Corey R Fehnel, Jason Yoon, Alvin S Das
No abstract text is available yet for this article.
March 12, 2024: Neurology
https://read.qxmd.com/read/38315987/management-of-frontoethmoidal-osteoma-causing-pneumocephalus-and-cerebrospinal-fluid-leakage-with-minimally-invasive-techniques-illustrative-cases
#4
JOURNAL ARTICLE
Nicholas G Candy, Kyle C Wu, Guilherme Finger, Kyle VanKoevering, Daniel M Prevedello
BACKGROUND: Osteoid osteoma is a common benign bone tumor frequently seen in the frontoethmoid region. However, involvement of the skull base is rare, with few cases previously reported. OBSERVATIONS: The authors report two cases of spontaneous, symptomatic frontoethmoidal osteoma: one presented with neurological deficit secondary to tension pneumocephalus and the other with cerebrospinal fluid leakage. The first case was managed with a transfrontal sinus craniotomy and pneumocephalus decompression with osteoma resection and skull base reconstruction...
February 5, 2024: J Neurosurg Case Lessons
https://read.qxmd.com/read/38154679/single-center-comparison-of-chronic-subdural-hematoma-evacuation-outcomes-under-local-versus-general-anesthesia
#5
JOURNAL ARTICLE
Taras Havryliv, Oleg Devinyak, Oleksandr Yartym, Andriy Smolanka, Smolanka Volodymyr, Emmanuel Uzoma Okoro
BACKGROUND: Chronic subdural hematoma (CSDH) is a neurosurgical pathology of an aged populace. Pathogenetic risk factors include traumatic brain injury, prolonged use of antiplatelet drugs, hypertension, and some inflammatory processes. The incidence increases as patients age. Burr-hole evacuation is the most common approach in management of symptomatic cases. We compared evacuation of chronic subdural hematomas with general or local anesthesia (GA and LA, respectively) and evaluated the safety, economic benefits, effects of comorbidity, benefits, and shortcomings of both techniques...
December 26, 2023: World Neurosurgery
https://read.qxmd.com/read/38059119/pictorial-review-of-the-post-operative-cranium
#6
REVIEW
Varsha Rangankar, Anmol Singh, Sanjay Khaladkar
UNLABELLED: Imaging evaluation of the brain and cranium after cranial surgery is a routine and significant part of the workflow of a radiology department. Various normal expected findings and early and late complications are associated with the post-operative cranium. In this pictorial review, the authors describe the typical imaging features of the spectrum of various conditions associated with cranial surgery with illustrative cases. CONTRIBUTION: A good knowledge and understanding of the spectrum of imaging appearances in the post-operative cranium is vital for the radiologist to accurately diagnose potential complications and distinguish them from normal post-operative findings, improving patient outcomes and guiding further treatment...
2023: SA journal of radiology
https://read.qxmd.com/read/38020184/kocuria-kristinae-neuroinfection-in-an-immunocompetent-patient-a-case-report-and-review-of-the-literature
#7
Mauricio Alejandro Saldaña-Ruiz, José Marcelino Chávez-García, Federico Ortiz-Alonso, Cindy Sharon Ortiz-Arce, Jaime Eugenio Espinosa-Mora, José Remedios Cortés-Cárdenas
Few cases of disease by Kocuria kristinae have been reported, some in immunocompetent patients but mainly in immunocompromised. The current case report describes a 28-year-old female with an initial diagnosis of pituitary macroadenoma. After the initial surgery, the patient was readmitted due to tension pneumocephalus and cerebrospinal fluid (CSF) fistula. Cultures showed K. kristinae in the CSF and Candida albicans in the urine. The patient died after multiple complications. This is the first case of neuroinfection by K...
December 2023: IJID Reg
https://read.qxmd.com/read/37960800/laparoscopic-cholecystectomy-induce-tension-pneumocephalus-in-a-patient-with-ventriculoperitoneal-shunt-a-case-report-and-literature-review
#8
REVIEW
Tan-Si Chu, Tan-Huy Chu, Tri-Dung Huynh, Hoang-Vu Mai, Van-Dinh Phan, Bao-Ngoc Dang, Quoc-Dat Tran, Xuan-Sang Le
INTRODUCTION AND PATIENT CONCERNS: We report on a 45-year-old woman who has a ventriculoperitoneal shunt (VPS), experienced drowsy mental status, with hypesthesia and hemiplegia on the left side. Ten days ago she underwent laparoscopic cholecystectomy (LC). Computed tomography revealed tension pneumocephalus, with severe compression on the right side of the brain. INTERVENTIONS AND DIAGNOSIS: She underwent 2 surgeries, the first surgery was to place a subdural drainage catheter, however, the pneumocephalus relapsed after withdrawing the catheter, and the later surgery was to replace the new VPS...
November 10, 2023: Medicine (Baltimore)
https://read.qxmd.com/read/37815282/clinical-significance-of-pneumocephalus-in-pediatric-mild-traumatic-brain-injury
#9
JOURNAL ARTICLE
Damla Hanalioglu, Cagri Elbir, Omer Selcuk Sahin, Aziz Kaan Ercandirli, Balkan Sahin, Mehmet Erhan Turkoglu, Huseyin Hayri Kertmen, Sahin Hanalioglu
OBJECTIVES: Mild traumatic brain injury (mTBI) comprises most (70%-90%) of all pediatric head trauma cases seeking emergency care. Although most mTBI cases have normal initial head computed tomography scan, a considerable portion of the cases have intracranial imaging abnormalities on computed tomography scan. Whereas other intracranial pathological findings have been extensively studied, little is known about the clinical significance of pneumocephalus in pediatric mTBI. METHODS: We retrospectively identified pediatric mTBI patients with pneumocephalus using the institutional database of a large regional trauma referral center...
November 1, 2023: Pediatric Emergency Care
https://read.qxmd.com/read/37799771/tension-pneumocephalus-as-a-complication-of-surgical-evacuation-of-chronic-subdural-hematoma-case-report-and-literature-review
#10
JOURNAL ARTICLE
Mohammed A Azab, Ahmed Hazem, Brandon Lucke-Wold
The management of symptomatic chronic subdural hematoma (CSDH) is surgical evacuation and prognosis in most cases is good. Tension pneumocephalus is the presence of air under pressure in the intracranial cavity. A case of tension pneumocephalus developing as a complication of burr hole evacuation of CSDH is illustrated. In this case, tension pneumocephalus was managed by reopening the wound and saline irrigation with a subdural drain placement. Considering this case report and after a careful review of the literature, the physiopathology, diagnosis, and treatment of this complication are highlighted in the article...
2023: Explor Neuroprotective Ther
https://read.qxmd.com/read/37728168/tandem-cranial-and-spinal-cerebrospinal-fluid-leaks-presenting-with-otogenic-tension-pneumocephalus-illustrative-case
#11
JOURNAL ARTICLE
Dominic Chau, Zachary R Barnard, Thomas J Muelleman, Adam M Olszewski, Anna K D'Agostino, Marcel M Maya, Peyton Nissen, Kevin A Peng, Wouter I Schievink, Gregory P Lekovic
BACKGROUND: Cranial and spinal cerebrospinal fluid (CSF) leaks are associated with opposite CSF fluid dynamics. The differing pathophysiology between spontaneous cranial and spinal CSF leaks are, therefore, mutually exclusive in theory. OBSERVATIONS: A 66-year-old female presented with tension pneumocephalus. The patient underwent computed tomography (CT) scanning, which demonstrated left-sided tension pneumocephalus, with an expanding volume of air directly above a bony defect of the tegmen tympani and mastoideum...
September 11, 2023: J Neurosurg Case Lessons
https://read.qxmd.com/read/37649693/transnasal-endoscopic-treatment-of-tension-pneumocephalus-caused-by-posttraumatic-or-iatrogenic-ethmoidal-damage
#12
Goran Latif Omer, Riccardo Maurizi, Beatrice Francavilla, Kareem Rekawt Hama Rashid, Gianluca Velletrani, Hasan Mustafa Salah, Giulia Marzocchella, Mohammed Ibrahim Mohialdeen Gubari, Stefano Di Girolamo
BACKGROUND: Tension pneumocephalus is a neurosurgical emergency caused by progressive accumulation of air in the intracranial spaces mediated by a valve mechanism. Tension pneumocephalus usually presents with headaches, reduced consciousness, and even death. One of the most common causes is an ethmoidal defect resulted by nasal surgery or facial traumas. METHODS: A literature review about tension pneumocephalus resulting from ethmoidal damages was performed. Surgery strategies included decompression by frontal burr holes and multilayer repair of the ethmoidal defect...
2023: Case Reports in Otolaryngology
https://read.qxmd.com/read/37636702/tension-pneumocephalus-a-potentially-fatal-complication-of-expanded-endoscopic-endonasal-approach
#13
JOURNAL ARTICLE
Garima Upreti, G Edmond Jonathan, Rajan Sundaresan, Regi Thomas
While some volume of pneumocephalus occurs following any surgery entailing dural breach, tension pneumocephalus (TP) is a rare complication of endoscopic endonasal surgery described in less than 1% cases including expanded endoscopic endonasal approaches (EEEA). It is a neurosurgical emergency warranting urgent decompression. Two cases, who developed TP following EEEA are presented. One had sinonasal malignancy (adenoid cystic carcinoma) eroding the anterior skull-base (T4N0M0) and the other was a large olfactory groove meningioma...
September 2023: Indian Journal of Otolaryngology and Head and Neck Surgery
https://read.qxmd.com/read/37517586/tension-pneumocephalus
#14
JOURNAL ARTICLE
Sandeep Khann, Carlos Trombetta, Kurt Ruetzler, Maged Argaliou
No abstract text is available yet for this article.
July 28, 2023: Brazilian Journal of Anesthesiology
https://read.qxmd.com/read/37392224/tension-pneumocephalus-in-a-patient-with-nf1-following-ventriculoperitoneal-shunt-deciphering-the-cause-and-proposed-management-strategy
#15
JOURNAL ARTICLE
Kavindra Singh, Ashutosh Kumar, Arun Srivastava, Rana P Singh, Raj Kumar
INTRODUCTION: Spontaneous pneumocephalus following ventriculoperitoneal shunting is a very unique complication, seen in a handful of patients. Small bony defects form as a result of chronically raised intracranial pressure, which can later lead to pneumocephalus once intracranial pressure decreases following ventriculoperitoneal shunting. CASE REPORT: Here, we present a case of a 15-year-old girl with NF1 who presented to us with pneumocephalus 10 months following shunting and our management strategy along with a literature review of this condition...
July 1, 2023: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://read.qxmd.com/read/37381753/delayed-tension-pneumocephalus-and-pneumorrhacis-after-routine-cervical-spine-surgery-treated-successfully-without-burr-holes
#16
JOURNAL ARTICLE
Y Lim, A Dahapute, A Clarke, M Hutton, W Selbi
Tension pneumocephalus (TP) after spinal surgery is very rare with only a few cases reported in the English literature. Most cases of TP occur rapidly after spinal surgery. Traditionally, TP is managed using burr holes to relieve intracranial pressure. However, our case highlights a rare delayed presentation of TP and pneumorrhacis 1 month after routine cervical spine surgery. It is to our knowledge the first case of TP after spinal surgery to be treated using dural repair and supportive care. A 75-year-old woman presented with TP after having routine cervical decompression and stabilisation for cervical myelopathy...
June 29, 2023: Annals of the Royal College of Surgeons of England
https://read.qxmd.com/read/37255298/dynamic-lateral-semisitting-position-for-supracerebellar-approaches-technical-note-and-case-series
#17
JOURNAL ARTICLE
Yunus Emre Durmuş, Barış Kaval, Bülent Timur Demirgil, Elif Gökalp, Muhammet Enes Gurses, Eyüp Varol, Pablo Gonzalez-Lopez, Aaron Cohen-Gadol, Abuzer Gungor
BACKGROUND: It has always been a matter of debate which position is ideal for the supracerebellar approach. The risk of venous air embolism (VAE) is the major deterrent for surgeons and anesthesiologists, despite the fact that sitting and semisitting positions are commonly used in these operations. OBJECTIVE: To demonstrate a reduction on the risk of VAE and tension pneumocephalus throughout the operation period while taking advantages of the semisitting position...
May 31, 2023: Operative Neurosurgery (Hagerstown, Md.)
https://read.qxmd.com/read/37206754/a-rare-case-of-tension-pneumocephalus-with-spontaneous-csf-rhinorrhea-managed-by-endoscopic-trans-sphenoidal-csf-leak-repair
#18
JOURNAL ARTICLE
T S Sangeetha, A Muraleedharan
Tension Pneumocephalus and spontaneous CSF rhinorrhea are very rare associations in clinical practice. We report a case of 65 years old male with clear rhinorrhea, severe frontal headache, vomiting and lethargy for a week. MR Cisternography and CT Paranasal sinuses showed significant Tension Pneumocephalus with defect in the posterior wall of sphenoid sinus and CSF pooling in the sphenoid sinus. Endoscopic trans-sphenoidal CSF leak repair was done without any delay followed by complete resolution of Tension Pneumocephalus with in 4 post op days...
April 2023: Indian Journal of Otolaryngology and Head and Neck Surgery
https://read.qxmd.com/read/37141943/tension-pneumocranium-following-transsphenoidal-surgeries-a-case-report-and-systematic-review-of-literature-with-analysis-of-predisposing-factors-and-treatment-regimens-is-early-skull-base-repair-better-than-conservative-treatment
#19
REVIEW
Sanjeev Sreenivasan, Chinmay Arora, Neha Agarwal, Michael Rallo, Vinay Jaikumar, Rahul Miglani, Sandeep Vaishya, Rana Patir, Gaurav Gupta
BACKGROUND: Conclusive evidence describing the outcomes following different treatment strategies for tension pneumocranium (TP) is lacking. Impact of predisposing conditions like multiple transnasal transsphenoidal (TNTS) procedures, intraoperative cerebrospinal fluid leak, obstructive sleep apnea, continuous positive airway pressure, violent coughing, nose blowing, positive pressure ventilation on TP outcomes is also unknown. METHODS: PubMed, Embase, Cochrane, and Google Scholar were searched for articles using Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines...
May 2, 2023: World Neurosurgery
https://read.qxmd.com/read/36941197/intraoperative-air-embolism-diagnosis-and-treatment-using-hyperbaric-oxygen-therapy-after-craniotomy-illustrative-case
#20
JOURNAL ARTICLE
Armaan K Malhotra, Ashton P Chang, Joseph P Lawton, Aderaldo Costa Alves, Angela Jerath, Bourke W Tillmann, Harry Foster, Azad Mashari, Leodante da Costa, Ashish Kumar
BACKGROUND: This report describes the use of hyperbaric oxygen therapy for the acute management of an intraoperative air embolism encountered during a neurosurgical procedure. Furthermore, the authors highlight the concomitant diagnosis of tension pneumocephalus requiring evacuation prior to hyperbaric therapy. OBSERVATIONS: A 68-year-old male developed acute ST-segment elevation and hypotension during elective disconnection of a posterior fossa dural arteriovenous fistula...
March 20, 2023: J Neurosurg Case Lessons
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