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Tension Pneumocephalus: A Potentially Fatal Complication of Expanded Endoscopic Endonasal Approach.
- Source :
-
Indian Journal of Otolaryngology & Head & Neck Surgery . Sep2023, Vol. 75 Issue 3, p2523-2528. 6p. - Publication Year :
- 2023
-
Abstract
- While some volume of pneumocephalus occurs following any surgery entailing dural breach, tension pneumocephalus (TP) is a rare complication of endoscopic endonasal surgery described in less than 1% cases including expanded endoscopic endonasal approaches (EEEA). It is a neurosurgical emergency warranting urgent decompression. Two cases, who developed TP following EEEA are presented. One had sinonasal malignancy (adenoid cystic carcinoma) eroding the anterior skull-base (T4N0M0) and the other was a large olfactory groove meningioma. TP was heralded in both by sudden deterioration in neurological status. Both cases underwent bifrontal craniotomy for decompression with simultaneous skull-base repair incorporating a vascularised pericranial flap. Brief literature review regarding the pathophysiology, contributing factors, diagnosis, management, and prevention of TP following EEEA is presented. TP, a life-threatening neurosurgical emergency, warrants meticulous precautions for its prevention, and vigilant postoperative monitoring for early detection. Urgent decompression with thorough skull-base repair is imperative to prevent complications. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 22313796
- Volume :
- 75
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- Indian Journal of Otolaryngology & Head & Neck Surgery
- Publication Type :
- Academic Journal
- Accession number :
- 170080595
- Full Text :
- https://doi.org/10.1007/s12070-023-03802-5