Case Report
 
A case of delayed tension pneumocephalus nine years after craniectomy
Ying-Tso Chen1, Shu-Shong Hsu2,3, Huang-I Hsu1
1Division of Neurosurgery, Department of Surgery, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, ROC
2Department of Surgery, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, ROC
3Department of Surgery, National Defense Medical Center, Taiwan, ROC

Article ID: 100917Z01YC2018
doi: 10.5348/100917Z01YC2018CR

Corresponding Author:
Shu-Shong Hsu,
Department of Surgery, Kaohsiung Veterans General Hospital,
No.386, Dazhong 1st Road.,
Zuoying Dist., Kaohsiung City 81362, Taiwan

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How to cite this article
Chen Y, Hsu S, Hsu H. A case of delayed tension pneumocephalus nine years after craniectomy. Int J Case Rep Images 2018;9:100917Z01YC2018.


ABSTRACT

Introduction: Pneumocephalus is a collection of air in the cranial cavity. It appears commonly after supratentorial craniotomies, whereas tension pneumocephalus is a rare but potential life-threatening complication of intracranial surgical procedures.

Case Report: A 27-year-old female patient, who was diagnosed with right cerebellopontine angle tumor, received twice suboccipital craniectomies for tumor removal. Postoperatively, she had subclinical pneumocephalus, which progressed into tension pneumocephalus after nine years.

Conclusion: Tension pneumocephalus may develop in a delayed manner. Therefore, close follow-up, early diagnosis and management of recurrent pneumocephalus are crucial to prevent morbidity and mortality.

Keywords: Craniectomy, Delayed, Pneumocephalus, Tension pneumocephalus


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Author Contributions
Ying-Tso Chen – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Shu-Shong Hsu – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Huang-I Hsu – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of Submission
The corresponding author is the guarantor of submission.
Source of Support
None
Consent Statement
Written informed consent was obtained from the patient for publication of this case report.
Conflict of Interest
Author declares no conflict of interest.
Copyright
© 2018 Ying-Tso Chen et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.