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
Abstract
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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
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