• Interact Cardiovasc Thorac Surg · Oct 2010

    Case Reports

    Pneumocephalus following thoracic surgery: the implication of the epidural anesthesia is still exceptional.

    • Ariane Gentile, Arnaud Germain, Alexandre Ouattara, and Gérard Janvier.
    • Department of Anesthesiology and Critical Care, Hôpital du Haut-Lévêque, Centre Hospitalier Universitaire (CHU) Bordeaux, Pessac, France.
    • Interact Cardiovasc Thorac Surg. 2010 Oct 1; 11 (4): 515-7.

    AbstractEpidural analgesia is the gold standard for the management of pain after thoracopulmonary surgery. However, it is not without side-effects and complications. We report the case of a 52-year-old man who underwent left lower lobectomy for a carcinoid tumor. He received multimodal anesthesia combining epidural thoracic anesthesia and balanced intravenous general anesthesia. He presented with pneumocephalus on the 10th postoperative day. Etiological assessment consisted of isotopic cisternography and cerebromedullar magnetic resonance imaging (MRI), revealing a breach in the fourth left spinal dural nerve sheath. Although it was initially suspected, the thoracic epidural was eventually excluded as the cause. Management consisted of prompt surgical repair.

      Pubmed     Free full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…