脳室-腹腔短絡術後にtension pneumocephalusを呈した1例

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rights:本文データは日本脳神経外科学会の許諾に基づきCiNiiから複製したものであるA case of tension pneumocephalus following ventriculo-peritoneal shunt is reported. A 28-year-old male was admitted with the diagnosis of arteriovenous malformation at the right temporooccipital lobe.Uneventful total removal of the arteriovenous malformation was performed. However,postoperatively symptoms of arterial vasospasm and progressive hydrocephalus developed, so a ventriculo-peritoneal shunt was inserted. The postoperative course was good, but about 3 weeks after the operation, the clinical symptoms aggravated gradually and computerized tomography scan showed expanding intraventricular air. At the reoperation, a small skin defect covered by crust was found at the shunt surgery wound, and the dura mater around the shunting tube remained as a defective space. It was suspected that the air invaded the lateral ventricles along the shunting tube through the skin and dura defect.Twelve similar cases could be found in the literature.
日本脳神経外科学会の論文
1986-05-15