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Neurol. Med. Chir. (Tokyo) · Jan 2014
Review Case ReportsPneumocephalus and pneumorrhachis after spinal surgery: case report and review of the literature.
- Ergun Karavelioglu, Olcay Eser, and Alpay Haktanir.
- Department of Neurosurgery, Afyon Kocatepe University, School of Medicine.
- Neurol. Med. Chir. (Tokyo). 2014 Jan 1;54(5):405-7.
AbstractTrauma is a common cause of pneumocephalus, or air in the cranial cavity, and of pneumorrhachis, or the presence of intraspinal air. After spinal surgery, occurrence of pneumocephalus, especially with pneumorrhachis, is extremely rare. We report the case of a patient who developed pneumocephalus and pneumorrhachis after lumbar disc surgery and pedicle screw fixation. There was no cerebrospinal fluid leakage during surgery. On postoperative day 1, the patient complained of headache, nausea, and dizziness. Brain and lumbar computed tomography scans revealed pneumocephalus and pneumorrhachis. With conservative treatment, the patient's complaints resolved within 10 days.
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