Resolution of tension pneumocephalus by burr hole trephination and saline infusion
EANS Academy. kim c. 09/25/19; 275628; EP05022
chong gue kim
chong gue kim

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Tension pneumocephalus is a rare condition but in case with a neurologic deficit, a neurosurgical emergency operation is needed. Some authors have reported a few surgical techniques -burr hole drilling and air aspiration, insertion of an external drainage catheter- for tension pneumocephalus. In this study, we describe a case which is treated by burr hole trephination , saline infusion and dural defect repair . A 66-yr-old male patient with a traumatic open fracture of frontal bone was admitted and underwent immediate neurosurgery including bone fragments removal. Next day, his conscious level deteriorated and he became unresponsive. A CT scan revealed a large fronto-parietal pneumocephalus compressing both frontal lobes. Bilateral burr hole with normal saline irrigation in subdural space was performed. Dural defect on fracture site was repaired with autologous galea aponeurosis. Finally, his mentation showed marked improvement after surgery. resolution of tension pneumocephalus by burr hole trephination , saline infusion and dural defect repair can be achieved
Tension pneumocephalus is a rare condition but in case with a neurologic deficit, a neurosurgical emergency operation is needed. Some authors have reported a few surgical techniques -burr hole drilling and air aspiration, insertion of an external drainage catheter- for tension pneumocephalus. In this study, we describe a case which is treated by burr hole trephination , saline infusion and dural defect repair . A 66-yr-old male patient with a traumatic open fracture of frontal bone was admitted and underwent immediate neurosurgery including bone fragments removal. Next day, his conscious level deteriorated and he became unresponsive. A CT scan revealed a large fronto-parietal pneumocephalus compressing both frontal lobes. Bilateral burr hole with normal saline irrigation in subdural space was performed. Dural defect on fracture site was repaired with autologous galea aponeurosis. Finally, his mentation showed marked improvement after surgery. resolution of tension pneumocephalus by burr hole trephination , saline infusion and dural defect repair can be achieved
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