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Journal of Korean Neurosurgical Society > Volume 41(1); 2007 > Article
Journal of Korean Neurosurgical Society 2007;41(1): 47-49.
Delayed Tension Pneumocephalus Caused by Ventriculoperitoneal Shunt.
Woo Yong Lee, Seong Ho Kim, Oh Lyong Kim, Byung Yon Choi
Department of Neurosurgery, College of Medicine, Yeungnam University, Daegu, Korea. shkim@med.yu.ac.kr
The authors describe a rare case of tension pneumocephalus, caused by ventriculoperitoneal(V-P) shunting for communicating hydrocephalus. The patient had a history of a right frontal skull fracture and pneumocephalus after a traffic accident five months prior to the present presentation of gait disturbance and memory impairment. A CT scan showed hydrocephalus and a V-P shunt was put in place. On the fourth day after surgery, the mental status of the patient gradually deteriorated due to a tension pneumocephalus; this was treated by repairing a fistula in the frontal sinus and a dural defect. The patient's mental status improved and symptoms were completely recovered. We report a case of tension pneumocephalus following V-P shunt for hydrocephalus in a patient who sustained a right frontal skull fracture.
Key Words: Skull fracture; Ventriculoperitoneal shunt; Pneumocephalus
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