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Maged Mohsen Kamel Beniamein 1 Article
Neurosurgery
What should an intensivist know about pneumocephalus and tension pneumocephalus?
Bhushan Sudhakar Wankhade, Maged Mohsen Kamel Beniamein, Zeyad Faoor Alrais, Jyoti Ittoop Mathew, Ghaya Zeyad Alrais
Acute Crit Care. 2023;38(2):244-248.   Published online April 13, 2022
DOI: https://doi.org/10.4266/acc.2021.01102
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  • 5 Web of Science
  • 6 Crossref
AbstractAbstract PDF
Collection of air in the cranial cavity is called pneumocephalus. Although simple pneumocephalus is a benign condition, accompanying increased intracranial pressure can produce a life-threatening condition comparable to tension pneumothorax, which is termed tension pneumocephalus. We report a case of tension pneumocephalus after drainage of a cerebrospinal fluid hygroma. The tension pneumocephalus was treated with decompression craniotomy, but the patient later died due to the complications related to critical care. Traumatic brain injury and neurosurgical intervention are the most common causes of pneumocephalus. Pneumocephalus and tension pneumocephalus are neurosurgical emergencies, and anesthetics and intensive care management like the use of nitrous oxide during anesthesia and positive pressure ventilation have important implications in their development and progress. Clinically, patients can present with various nonspecific neurological manifestations that are indistinguishable from a those of a primary neurological condition. If the diagnosis is questionable, patients should be investigated using computed tomography of the brain. Immediate neurosurgical consultation with decompression is the treatment of choice.

Citations

Citations to this article as recorded by  
  • Sudden-onset, non-traumatic large volume pneumocephalus following presentation of acute bacterial meningitis
    Alexandra Krez, Michael Malinzak, Colby Feeney
    BMJ Case Reports.2024; 17(1): e256194.     CrossRef
  • Fatal postoperative tension pneumocephalus after acute subdural hematoma evacuation: a case report
    Nikolaos Gkantsinikoudis, Panagiotis Monioudis, Elias Antoniades, Vassilios Tsitouras, Ioannis Magras
    International Journal of Neuroscience.2024; : 1.     CrossRef
  • Pneumocephalus; a rare cause of coma
    Elisavet Simoulidou, Vivian Georgopoulou, Panagiotis Kalmoukos, Dimitrios Kouroupis, Nikoleta Moscha, Maria Sidiropoulou, Sofia Chatzimichailidou, Konstantinos Petidis, Athina Pyrpasopoulou
    The American Journal of Emergency Medicine.2023; 68: 215.e1.     CrossRef
  • Pneumocephalus secondary to epidural analgesia: a case report
    Maira Ahmad, Shannay Bellamy, William Ott, Rany Mekhail
    Journal of Medical Case Reports.2023;[Epub]     CrossRef
  • Transnasal Endoscopic Treatment of Tension Pneumocephalus Caused by Posttraumatic or Iatrogenic Ethmoidal Damage
    Goran Latif Omer, Riccardo Maurizi, Beatrice Francavilla, Kareem Rekawt Hama Rashid, Gianluca Velletrani, Hasan Mustafa Salah, Giulia Marzocchella, Mohammed Ibrahim Mohialdeen Gubari, Stefano Di Girolamo, Rong-San Jiang
    Case Reports in Otolaryngology.2023; 2023: 1.     CrossRef
  • Tension pneumocephalus as a complication of surgical evacuation of chronic subdural hematoma: case report and literature review
    Mohammed A. Azab, Ahmed Hazem, Brandon Lucke-Wold
    Exploration of Neuroprotective Therapy.2023; 3(4): 177.     CrossRef

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