Tension Pneumocephalus as a Complication of Lumbar Drainage for Cerebral Aneurysm Surgery : Case Report
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概要
- 論文の詳細を見る
A 66-year-old man developed tension pneumocephalus after failed lumbar drainage before clipping surgery for a ruptured anterior communicating artery aneurysm. After puncture with a Tuohy needle, the spinal catheter could not be inserted into the spinal dura, so surgery proceeded without the catheter placement. The patient’s neurological status deteriorated suddenly into coma within 15 hours after uneventful clipping of the aneurysm. Computed tomography revealed tension pneumocephalus with marked brain shift. Intracranial hypotension was probably caused by continuous cerebrospinal fluid leakage from the iatrogenic spinal dural tear, resulting in air entry and accumulation into the cranium from an unidentified opening of the cranial dura. The patient was immediately treated with autologous epidural blood patch administration in the lumbar spine, followed by reopening of the craniotomy incision and flap to evacuate the accumulated air. The patient made a quick and uneventful neurological recovery after the rescue procedure.
- 2009-06-15
著者
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Inamasu Joji
Department Of Neurosurgery Saiseikai Utsunomiya Hospital
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NAKATSUKASA Masashi
Department of Neurosurgery, Saiseikai Utsunomiya Hospital
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Kawamura Fumio
Department Of Anesthesiology Saiseikai Utsunomiya Hospital
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Kuramae Takumi
Department Of Neurosurgery Saiseikai Utsunomiya Hospital
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Nakatsukasa Masashi
Department Of Neurosurgery Saiseikai Utsunomiya Hospital
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SAITO Katsuya
Department of Neurosurgery, Saiseikai Utsunomiya Hospital
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Saito Katsuya
Department Of Neurosurgery Saiseikai Utsunomiya Hospital
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Saito Katsuya
Department Of General Pediatrics Nihon University Nerima-hikarigaoka Hospital Nihon University Schoo
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Inamasu Joji
Department Of Neurosurgery Fujita Health University School Of Medicine
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Saito Katsuya
Department Of General Pediatrics Nihon University Nerima-hikarigaoka Hospital
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INAMASU Joji
Department of Neurosurgery, Fujita Health University School of Medicine
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INAMASU Joji
Department of Emergency Medicine, Fujita Health University Hospital
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