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Pediatric neurosurgery · Jan 2007
Case ReportsPostoperative brain stem tension pneumocephalus causing transient locked-in syndrome.
- N Biyani, A Silbiger, J Ben-Ari, and S Constantini.
- Department of Pediatric Neurosurgery, Dana Children's Hospital, Tel-Aviv Medical Center, Tel-Aviv University, Tel Aviv, Israel.
- Pediatr Neurosurg. 2007 Jan 1; 43 (5): 414-7.
AbstractThe incidence of pneumocephalus after supratentorial craniotomy has been reported to be as high as 100%. However, transformation of postoperative pneumocephalus into tension pneumocephalus (symptomatic intracranial air) is a rather rare phenomenon. Tension pneumocephalus after posterior fossa surgery is reported mainly when the surgery is performed in a sitting position. We hereby report on a patient who developed brain-stem tension pneumocephalus in the early postoperative period after posterior fossa craniotomy for an exophytic brainstem astrocytoma, operated in the prone position. A complete locked-in syndrome resolved following surgical relief of the trapped air.(c) 2007 S. Karger AG, Basel.
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