Post-Operative Compressive Pneumocephalus: A Rare Complication of Lumbar Spinal Drainage Volume 4 - Issue 1

Lakhdar F*, Benzagmout M, Chakour K and Chaoui ME

• Department of neurosurgery, Hassan II Hospital, University Sidi Mohammed Benabdellah, FEZ, Morocco

Received: June 06, 2019;   Published: June 12, 2020

Corresponding author: Lakhdar F, Department of neurosurgery, Hassan II Hospital, University Sidi Mohammed Benabdellah, FEZ, Morocco

DOI: 10.32474/OJNBD.2020.04.000179

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Abstract

Compressive pneumocephalus is a rare condition, most often secondary to head trauma or surgery. We report post-operative compressive pneumocephalus in a patient who underwent primary surgery for anterior clinoid meningioma complicated by CSF leakage treated by lumbar spinal drainage. CT scan clearly demonstrates a compressive pneumocephalus with the sign of the Mount Fuji. The patient was treated with definite bed rest and plenty of fluid replacement with good outcome. Compressive pneumocephalus is a serious, infrequent complication and a possible cause of postoperative worsening. Medical treatment combining highly inspired oxygen therapy and rehydration are sufficient to correct the condition.

Keywords: Hydration; Oxygen therapy; Pneumocephalus

Abstract| Clinical Case|