Journal of Korean Neurosurgical Society

  • 제48권3호
  • /
  • Pages.288-290
  • /
  • 2010
  • /
  • 2005-3711(pISSN)
  • /
  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
권호 표지
DOI QR코드

DOI QR Code

Diffuse Pneumocephalus : A Rare Complication of Spinal Surgery

  • Yun, Jung-Ho (Department of Neurosurgery, Dankook University Medical College) ;
  • Kim, Young-Jin (Department of Neurosurgery, Dankook University Medical College) ;
  • Yoo, Dong-Soo (Department of Radiology, Dankook University Medical College) ;
  • Ko, Jung-Ho (Department of Neurosurgery, Konyang University Hospital)
  • 투고 : 2010.10.25
  • 심사 : 2010.08.03
  • 발행 : 2010.09.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

The common etiologies of pneumocephalus, presence of air in the intracranial cavity, are trauma and cranial surgery. Pneumocephalus after spinal surgery is an unusual postoperative complication. We report the case of a male 59-year-old man who developed a pneumacephalus after posterior lumbar surgery for spinal stenosis. Intraoperatively, a cerebrospinal fluid leak following a dural tear was noted and immediately repaired. The next day, the patient complained of headache and dizziness. Head and lumbar computed tomography scans revealed significant air in the frontal region, several cisterns, intraventricle, and extra-dural area in the spine canal. Symptoms were spontaneously resolved within 2 weeks with conservative management.

키워드

참고문헌

  1. An BK, Hyun DK, Kim KC, Park CO, Ha YS : A case of anterior sacral meningocele with pneumocephalus and meningitis. J Korean Neurosurg Soc 28 : 997-1000, 1999
  2. Arbit E, Shah J, Bedford R, Carlon G : Tension pneumocephalus : treatment with controlled decompression via a closed water-seal drainage system. Case report. J Neurosurg 74 : 139-142, 1991 https://doi.org/10.3171/jns.1991.74.1.0139
  3. Bilsky MH, Fraser JF : Complication avoidance in vertebral column spine tumors. Neurosurg Clin N Am 17 : 317-329, 2006 https://doi.org/10.1016/j.nec.2006.04.007
  4. Bosacco SJ, Gardner MJ, Guille JT : Evaluation and treatment of dural tears in lumbar spine surgery : a review. Clin Orthop Relat Res : 238-247, 2001
  5. Gezici AR, Okay O, ErgUn R, Daglioglu E, Ergungor F : Rare intracranial manifestations of frontal osteomas. Acta Neurochir (Wien) 146 : 393-396, 2004 https://doi.org/10.1007/s00701-003-0202-3
  6. Hong WJ, Yoo CJ, Park CW, Lee SG : Two cases of delayed tension pneumocephalus. J Korean Neurosurg Soc 37 : 59-62, 2005
  7. Jayaram S, Jadhav S, Rathod D, Tarvade S, Sornan A : Meningitis : an unusual cause of pneumocephalus. J Assoc Physicians India 52 : 67-68, 2004
  8. Lee JH, Kim BT, Cho SJ, Shin WH, Choi SK, Byun BJ : Tension pneumocephalus after shunting for hydrocephalus. -Case report-. J Korean Neurosurg Soc 30 : 81-84, 2001
  9. Lunsford LD, Maroon JC, Sheptak PE, Albin MS : Subdural tension pneumocephalus. Report of two cases. J Neurosurg 50 : 525-527, 1979 https://doi.org/10.3171/jns.1979.50.4.0525
  10. McMurtrie R Jr, Jan R : Subarachnoid pneumocephalus : a rare complication of epidural catheter placement. J Clin Anesth 14 : 539-542, 2002 https://doi.org/10.1016/S0952-8180(02)00426-9
  11. O'Doherty DP, Ferris BB : Intracranial air after injury to the cervical spine : brief report. J Bone Joint Surg Br 70 : 488, 1988
  12. Osborn AG, Daines JH, Wing SD, Anderson RE : Intracranial air on computerized tomography. J Neurosurg 48 : 355-359, 1978 https://doi.org/10.3171/jns.1978.48.3.0355
  13. Ozturk E, Kantarci M, Karaman K, Basekim CC, Kizilkaya E : Diffuse pneumocephalus associated with infratentorial and supratentorial hemorrhages as a complication of spinal surgery. Acta Radiol 47 : 497-500, 2006 https://doi.org/10.1080/02841850600644766
  14. Seok JY, Kim HS, Bae HJ, Chung HR, Kim DH, Yoon YK : CT findings of diffuse pneumocephalus due to bacterial meningitis : a case report. J Korean Radiol Soc 44 : 15-17, 2001
  15. Sprague A, Poulgrain 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
  16. Turgut M, Akyuz O : Symptomatic tension pneumocephalus : an unusual post-operative complication of posterior spinal surgery. J Clin Neurosci 14 : 666-668, 2007 https://doi.org/10.1016/j.jocn.2006.02.021
  17. Uemura K, Meguro K, Matsumura A : Pneumocephalus associated with fracture of thoracic spine : case report. Br J Neurosurg 11 : 253-256, 1997 https://doi.org/10.1080/02688699746366
  18. Walker FO, Vern BA : The mechanism of pneumocephalus formation in patients with CSF fistulas. J Neurol Neurosurg Psychiatry 49 : 203-205, 1986 https://doi.org/10.1136/jnnp.49.2.203

피인용 문헌

  1. A Case of Broncho-Paraspinal Fistula Induced by Metallic Devices : Delayed Complication of Thoracic Spinal Surgery vol.50, pp.1, 2010, https://doi.org/10.3340/jkns.2011.50.1.64
  2. Pneumocephalus and Pneumorrhachis after Spinal Surgery: Case Report and Review of the Literature vol.54, pp.5, 2010, https://doi.org/10.2176/nmc.cr2013-0118
  3. Pneumocephalus and Pneumorrhachis After Spinal Surgery vol.81, pp.None, 2010, https://doi.org/10.12659/pjr.895570
  4. Pneumocephalus and Neurologic Deficit Due to Neck Stab Wound in a Twenty Nine-Year-Old Man vol.4, pp.4, 2010, https://doi.org/10.17795/rijm42336
  5. Delayed post-operative tension pneumocephalus and pneumorrhachis vol.27, pp.1, 2010, https://doi.org/10.1007/s00586-017-5268-3
  6. Pneumocephalus: a rare and life-threatening, but reversible, complication after penetrating lumbar injury vol.161, pp.2, 2010, https://doi.org/10.1007/s00701-018-03796-y
  7. Symptomatic pneumocephalus: A rare complication of discal herniation's surgery vol.42, pp.6, 2010, https://doi.org/10.1080/10790268.2018.1476000
  8. Symptomatic pneumocephalus following spine surgery: An institutional experience and review of literature vol.3, pp.2, 2010, https://doi.org/10.4103/isj.isj_4_19
  9. Delayed pneumocephalus induced by repeated percutaneous aspiration after spinal surgery : A case report and literature review vol.100, pp.23, 2021, https://doi.org/10.1097/md.0000000000026322
  10. Tension pneumocephalus following an implant removal from spine vol.14, pp.2, 2021, https://doi.org/10.1136/bcr-2020-239694
  11. Pneumorrhachis following cervical spine surgery vol.9, pp.2, 2010, https://doi.org/10.1002/anr3.12137
  12. Tension Pneumocephalus: a Case Report of a Rare Complication After Spinal Surgery vol.3, pp.7, 2010, https://doi.org/10.1007/s42399-021-00864-w
  13. Pneumocephalus secondary to a spinal surgery: A literature review and a case report vol.86, pp.None, 2021, https://doi.org/10.1016/j.ijscr.2021.106342