• J Neurol Surg A Cent Eur Neurosurg · Dec 2013

    Case Reports

    Akinetic mutism and parkinsonism due to subdural and intraventricular tension pneumocephalus.

    • Götz Lütjens, H Holger Capelle, and Joachim K Krauss.
    • Department of Neurosurgery, Medical School Hannover, Hannover, Germany.
    • J Neurol Surg A Cent Eur Neurosurg. 2013 Dec 1; 74 Suppl 1: e116-8.

    AbstractPneumocephalus may occur after intracranial surgery and is most often asymptomatic. It is usually associated with posterior fossa surgery. Here, we present a 56-year-old man who developed akinetic mutism and parkinsonism caused by subdural and intraventricular tension pneumocephalus associated with decompression of a chronic subdural hygroma. As an emergency treatment, air was exchanged with saline via the drainage, which then was removed and a subduro-peritoneal shunt was implanted. The condition described here requires immediate attention and appropriate treatment.Georg Thieme Verlag KG Stuttgart · New York.

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