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Journal article
Tension Pneumocephalus: A Rare Complication of Transsphenoidal Resection of a Pituitary Macroadenoma
CUREUS JOURNAL OF MEDICAL SCIENCE, v 11(5), e4623
2019
PMID: 31312549
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Tension pneumocephalus (TP) is described as the presence of a large amount of air in the cranial cavity, compressing the parenchyma and ventricles. It is a rare neurosurgical emergency and has been reported in only a handful of cases as a complication of transsphenoidal resection of a pituitary adenoma. Our reported case is an addition to the series of those cases. A 60-year-old male patient underwent transsphenoidal resection of a pituitary macroadenoma. Computed tomography (CT) of the head performed post-procedure showed post-surgical changes with no identification of any acute intracerebral processes. On postoperative Day 2, the patient had a bout of sneezing and since that time, he was noted to be more altered in terms of his mentation and lethargic with no focal neurological deficits. A repeat CT of the head showed a large amount of air in the intracranial cavity compressing the brain parenchyma with slit-like appearances of the cerebral ventricles. The patient underwent emergent bifrontal air evacuation through burr holes. A cerebrospinal fluid leak was also noted while reconstructing the skull base. A postoperative CT scan showed marked resolution of TP. The patient improved clinically, was discharged home five days later, and was monitored closely by the surgical team on an outpatient basis.
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Details
- Title
- Tension Pneumocephalus: A Rare Complication of Transsphenoidal Resection of a Pituitary Macroadenoma
- Creators
- Shumaila M. Iqbal - Sisters of Charity HospitalAalia J. Khan - Sisters of Charity HospitalCassandra Zhi - Drexel Univ, Coll Med, Internal Med, Philadelphia, PA 19104 USA
- Publication Details
- CUREUS JOURNAL OF MEDICAL SCIENCE, v 11(5), e4623
- Publisher
- SPRINGERNATURE; LONDON
- Number of pages
- 7
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Medicine
- Web of Science ID
- WOS:000467820400007
- Other Identifier
- 991021860815004721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Clinical Neurology