• J Neurosurg Nurs · Jun 1985

    Case Reports

    Tension pneumocephalus.

    • M V Wohlgemuth.
    • J Neurosurg Nurs. 1985 Jun 1; 17 (3): 146-54.

    AbstractTension pneumocephalus occurs when intracranial air exists under pressure, resulting in neurologic deterioration. The syndrome is precluded by an extracranial-intracranial communication and a difference in extracranial-intracranial pressure with the latter being greater. Although most frequently associated with head trauma, a variety of situations, including an operative sitting position and use of nitrous oxide anesthesia, have been known to contribute to this potentially life-threatening complication. This article will address pathogenesis, assessment parameters, and medical and nursing approaches utilized to reduce and minimize further entrapment of air. A case report will be presented illustrating this condition.

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