[Tension pneumocephalus: a possible complication of posterior fossa craniotomy in the sitting position]. 1982

H Hülsmann, and M Marschall, and H Feldmann

The authors describe a case of subdural tension pneumocephalus complicating the early postoperative course after posterior fossa craniotomy in the sitting position. This complication was promptly recognized and was treated successfully by allowing the compressed air to escape through frontal burr holes. A brief review of the recent literature is presented and the possible pathological mechanism is discussed. Emphasis is given to means of early detection and measures of prevention.

UI MeSH Term Description Entries
D011007 Pneumocephalus Presence of air or gas within the intracranial cavity (e.g., epidural space, subdural space, intracerebral, etc.) which may result from traumatic injuries, fistulous tract formation, erosions of the skull from NEOPLASMS or infection, NEUROSURGICAL PROCEDURES, and other conditions. Cranial Pneumocyst,Intracranial Gas,Pneumocephalus, Tension,Cranial Airocele,Pneumocephalus, Epidural,Pneumocephalus, Traumatic,Pressure Pneumocephalus,Airocele, Cranial,Airoceles, Cranial,Cranial Airoceles,Cranial Pneumocysts,Epidural Pneumocephalus,Gas, Intracranial,Pneumocephalus, Pressure,Pneumocyst, Cranial,Pneumocysts, Cranial,Tension Pneumocephalus,Traumatic Pneumocephalus
D011183 Postoperative Complications Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery. Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D011187 Posture The position or physical attitude of the body. Postures
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D003388 Cranial Fossa, Posterior The infratentorial compartment that contains the CEREBELLUM and BRAIN STEM. It is formed by the posterior third of the superior surface of the body of the sphenoid (SPHENOID BONE), by the occipital, the petrous, and mastoid portions of the TEMPORAL BONE, and the posterior inferior angle of the PARIETAL BONE. Clivus,Cranial Fossas, Posterior,Fossa, Posterior Cranial,Fossas, Posterior Cranial,Posterior Cranial Fossa,Posterior Cranial Fossas
D003399 Craniotomy Surgical incision into the cranium. Craniectomy,Craniectomies,Craniotomies
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012886 Skull The SKELETON of the HEAD including the FACIAL BONES and the bones enclosing the BRAIN. Calvaria,Cranium,Calvarium,Skulls

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