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- Volodymyr O Solomiichuk, Vitaliy O Lebed, and Konstantin I Drizhdov.
- Neurosurgical Department, Yalta City Hospital, Yalta, Crimea, Ukraine.
- Surg Neurol Int. 2013 Jan 1; 4: 37.
BackgroundPneumocephalus is a complication of head injury in 3.9-9.7% of the cases, it also appears after supratentorial craniotomy in 100% of cases. The accumulation of intracranial air can be acute (<72 hours) or delayed (≥72 hours). When intracranial air causes intracranial hypertension and has a mass-effect with neurological deterioration, it is called tension pneumocephalus.Case DescriptionWe represent a clinical case of a 75-year-old male patient with open penetrating head injury, complicated by tension pneumocephalus on the fifth day after trauma and underwent urgent surgical correction. Operation performed: Burr-hole placement in the right frontal region, evacuation of tension pneumocephalus.ConclusionTension pneumocephalus is a life-threatening neurosurgical emergency case, which needs to undergo immediate surgical or conservative treatment.
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