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Papers of the Week


January 27, 2023


Surg Neurol Int


http://www.ncbi.nlm.nih.gov/pubmed/36600732?dopt=Abstract


13

Extensive tension pneumocephalus presented in the setting of a challenging etiology.

Authors

Salih HR, Jaafer H, Ismail M, Khallaf A K, Mohammed A J, Al-Mosawy M SMJ, Naser H S, Maulood Z T, Hafedh AN, Hoz SS
Surg Neurol Int. 2022; 13:570.
PMID: 36600732.

Abstract

Pneumocephalus (PNC) is a well-described consequence in postoperative settings and skull fractures that is usually self-limiting. It can get complicated into tension PNC on some rare occasions, leading to an intracranial mass effect. PNC was also reported after unintentional dural puncture throughout the epidural anesthesia process. However, tension PNC resulting from epidural anesthesia procedures is an extremely rare outcome that implies urgent intervention to relieve the tension within the brain. Here, we report a case of an extensive tension intraventricular PNC 2 days following an epidural anesthesia procedure for a femur fixation surgery.