Tension pneumocephalus as a complication of surgical evacuation of chronic subdural hematoma: case report and literature review

The management of symptomatic chronic subdural hematoma (CSDH) is surgical evacuation and prognosis in most cases is good. Tension pneumocephalus is the presence of air under pressure in the intracranial cavity. A case of tension pneumocephalus developing as a complication of burr hole evacuation of...

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Main Authors: Mohammed A. Azab, Ahmed Hazem, Brandon Lucke-Wold
Format: Article
Language:English
Published: Open Exploration Publishing Inc. 2023-08-01
Series:Exploration of Neuroprotective Therapy
Subjects:
Online Access:https://www.explorationpub.com/Journals/ent/Article/100446
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author Mohammed A. Azab
Ahmed Hazem
Brandon Lucke-Wold
author_facet Mohammed A. Azab
Ahmed Hazem
Brandon Lucke-Wold
author_sort Mohammed A. Azab
collection DOAJ
description The management of symptomatic chronic subdural hematoma (CSDH) is surgical evacuation and prognosis in most cases is good. Tension pneumocephalus is the presence of air under pressure in the intracranial cavity. A case of tension pneumocephalus developing as a complication of burr hole evacuation of CSDH is illustrated. In this case, tension pneumocephalus was managed by reopening the wound and saline irrigation with a subdural drain placement. Considering this case report and after a careful review of the literature, the physiopathology, diagnosis, and treatment of this complication are highlighted in the article.
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spelling doaj.art-e83e056a8996412783fe5306a17be5b32023-09-06T08:13:47ZengOpen Exploration Publishing Inc.Exploration of Neuroprotective Therapy2769-65102023-08-013417718510.37349/ent.2023.00046Tension pneumocephalus as a complication of surgical evacuation of chronic subdural hematoma: case report and literature reviewMohammed A. Azab0https://orcid.org/0000-0002-3934-0470Ahmed Hazem1Brandon Lucke-Wold2https://orcid.org/0000-0001-6577-4080Department of Neurosurgery, Cairo University, Cairo 11562, EgyptDepartment of Neurosurgery, Cairo University, Cairo 11562, EgyptDepartment of Neurosurgery, University of Florida, Gainesville, FL 32610, USAThe management of symptomatic chronic subdural hematoma (CSDH) is surgical evacuation and prognosis in most cases is good. Tension pneumocephalus is the presence of air under pressure in the intracranial cavity. A case of tension pneumocephalus developing as a complication of burr hole evacuation of CSDH is illustrated. In this case, tension pneumocephalus was managed by reopening the wound and saline irrigation with a subdural drain placement. Considering this case report and after a careful review of the literature, the physiopathology, diagnosis, and treatment of this complication are highlighted in the article.https://www.explorationpub.com/Journals/ent/Article/100446chronic subdural hematomatensionpneumocephalusmanagement
spellingShingle Mohammed A. Azab
Ahmed Hazem
Brandon Lucke-Wold
Tension pneumocephalus as a complication of surgical evacuation of chronic subdural hematoma: case report and literature review
Exploration of Neuroprotective Therapy
chronic subdural hematoma
tension
pneumocephalus
management
title Tension pneumocephalus as a complication of surgical evacuation of chronic subdural hematoma: case report and literature review
title_full Tension pneumocephalus as a complication of surgical evacuation of chronic subdural hematoma: case report and literature review
title_fullStr Tension pneumocephalus as a complication of surgical evacuation of chronic subdural hematoma: case report and literature review
title_full_unstemmed Tension pneumocephalus as a complication of surgical evacuation of chronic subdural hematoma: case report and literature review
title_short Tension pneumocephalus as a complication of surgical evacuation of chronic subdural hematoma: case report and literature review
title_sort tension pneumocephalus as a complication of surgical evacuation of chronic subdural hematoma case report and literature review
topic chronic subdural hematoma
tension
pneumocephalus
management
url https://www.explorationpub.com/Journals/ent/Article/100446
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AT ahmedhazem tensionpneumocephalusasacomplicationofsurgicalevacuationofchronicsubduralhematomacasereportandliteraturereview
AT brandonluckewold tensionpneumocephalusasacomplicationofsurgicalevacuationofchronicsubduralhematomacasereportandliteraturereview