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Journal of Korean Neurosurgical Society > Volume 30(1); 2001 > Article
Journal of Korean Neurosurgical Society 2001;30(1): 81-84.
Tension Pneumocephalus after Shunting for Hydrocephalus: Case Report.
Jae Hack Lee, Bum Tae Kim, Sung Jin Cho, Won Han Shin, Soon Kwan Choi, Bark Jang Byun
Department of Neurosurgery, Soonchunhyang University Hospital, Seoul, Korea.
ABSTRACT
Pneumocephalus is exceedingly rare in the absence of trauma or recent surgery. It is most commonly seen after severe head injury, with disruption of the dura and subsequent cerebrospinal fluid leakage. Intracranial air has also been reported as a complication of shunting. This may be secondary to intermittent shunt failure or a persistent communication between the extracranial and intracranial space that permits the entrance of air. In the present case, air appeared to enter the ventricular system through the fistula that connected the frontal sinus. This air replaced the CSF being drained into the peritoneal cavity by the shunt. The decrease of intracranial pressure after a shunt might play a role in causing pneumocephalus. We report a case of tension pneumocephalus after shunting for hydrocephalus as a life-threatning complication.
Key Words: Tension pneumocephalus; Shunting; Hydrocephalus; Head trauma
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