CC BY-NC-ND 4.0 · Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery 2018; 37(03): 275-279
DOI: 10.1055/s-0036-1581996
Case Report | Relato de Caso
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Post-traumatic Tension Pneumoventricle: Case Report

Artikel in mehreren Sprachen: English | português
Ricardo Macedo Camelo
1   Department of Neurosurgery, Medical Residency Program, Hospital Universitário Professor Alberto Antunes, Maceió, AL, Brazil
,
Josias Inácio da Silva
1   Department of Neurosurgery, Medical Residency Program, Hospital Universitário Professor Alberto Antunes, Maceió, AL, Brazil
,
Rafael Costa Camelo
1   Department of Neurosurgery, Medical Residency Program, Hospital Universitário Professor Alberto Antunes, Maceió, AL, Brazil
,
Moana Vergetti Malta
2   Department of Neurosurgery, HUPAA, Maceió, AL, Brazil
,
Arnon Castro Alves Filho
2   Department of Neurosurgery, HUPAA, Maceió, AL, Brazil
,
Washington Clésio da Silva Ribeiro
2   Department of Neurosurgery, HUPAA, Maceió, AL, Brazil
,
Adans Soares Porfírio
2   Department of Neurosurgery, HUPAA, Maceió, AL, Brazil
,
Daniel Fonseca Oliveira
2   Department of Neurosurgery, HUPAA, Maceió, AL, Brazil
› Institutsangaben
Weitere Informationen

Publikationsverlauf

29. September 2015

11. Januar 2016

Publikationsdatum:
14. April 2016 (online)

Abstract

Pneumoventricle and liquoric fistula are possible complications of traumatic brain injury (TBI), the main cause of morbimortality related to trauma in Brazil. Liquoric fistulae are more common after direct trauma with skull base fractures. However, pneumoventricle is rare and occurs due to excessive cerebrospinal fluid (CSF) drainage in the presence of a poorly compliant ventricle system, resulting in the influx of air to its interior. The pathophysiology of tension pneumoventricle remains uncertain. However, the traumatic cause is certain and multiple bone fractures of the face and liquoric fistula may contribute to the process. If symptomatic, the tension pneumoventricle can cause rapid clinical deterioration. The authors aim to report a rare case of post-TBI tension pneumoventricle with complete resolution and without signs of recurrence of the liquoric fistula after surgical treatment.

 
  • References

  • 1 Carmona KC, Fantine JSE, Vieira CN. , et al. Pneumoventrículo hipertensivo pós-traumático: relato de caso. Rev Med Minas Gerais 2010; 20 (2, Suppl 1) 129-132
  • 2 Tuğcu B, Tanriverdi O, Günaldi O, Baydin S, Postalci LS, Akdemir H. Delayed intraventricular tension pneumocephalus due to scalp-ventricle fistula: a very rare complication of shunt surgery. Turk Neurosurg 2009; 19 (03) 276-280
  • 3 Kanner AA, Nageris BI, Chaimoff M, Rappaport ZH. Spontaneous pneumocephalus in the posterior fossa in a patient with a ventriculoperitoneal shunt: case report. Neurosurgery 2000; 46 (04) 1002-1004
  • 4 Simmons J, Luks AM. Tension pneumocephalus: an uncommon cause of altered mental status. J Emerg Med 2013; 44 (02) 340-343
  • 5 Radhziah S, Lee CK, Ng I. Tension pneumoventricle. J Clin Neurosci 2006; 13 (08) 881-883
  • 6 Kuo MY, Lien WC, Wang HP, Chen WJ. Nontraumatic tension pneumocephalus--a differential diagnosis of headache at the ED. Am J Emerg Med 2005; 23 (02) 235-236
  • 7 Gupta N, Rath GP, Mahajan C, Dube SK, Sharma S. Tension pneumoventricle after excision of third ventricular tumor in sitting position. J Anaesthesiol Clin Pharmacol 2011; 27 (03) 409-411
  • 8 Monas J, Peak DA. Spontaneous tension pneumocephalus resulting from a scalp fistula in a patient with a remotely placed ventriculoperitoneal shunt. Ann Emerg Med 2010; 56 (04) 378-381
  • 9 Barbosa FT, Cunha RM, Rocha APC, Silva Júnior HJL. [Intraventricular pneumocephalus after accidental perforation of the dura mater: case report.]. Rev Bras Anestesiol 2006; 56 (05) 511-517
  • 10 Rao V, Fredriksli O, Gulati S. Post-traumatic epidural tension pneumocephalus: a case report. J Med Case Reports 2015; 9 (09) 151
  • 11 Paiva WS, de Andrade AF, Figueiredo EG, Amorim RL, Prudente M, Teixeira MJ. Effects of hyperbaric oxygenation therapy on symptomatic pneumocephalus. Ther Clin Risk Manag 2014; 10: 769-773