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Review Case Reports
Spontaneous Intraventricular Tension Pneumocephalus: Case Report and Review of the Literature.
- Michael Young, Matthew Putty, and Keith Schaible.
- Advocate Health Care, Department of Neurosurgery, Oak Lawn, Illinois, USA. Electronic address: michael.young2@advocatehealth.com.
- World Neurosurg. 2018 Jun 1; 114: 317-322.
BackgroundIntracranial pneumocephalus is a well-known clinical entity most frequently caused by trauma and intracranial surgery. A less frequent cause of intracranial pneumocephalus is spontaneous pneumocephalus. Spontaneous pneumocephalus can have an intraventricular extension, causing tension intraventricular pneumocephalus.Case DescriptionWe present an exceptionally rare case of spontaneous otogenic intraventricular pneumocephalus in a 58-year-old female that resulted in a decline in mentation and neurologic deficit. The patient was subsequently treated with ventriculostomy and middle fossa craniotomy, with repair of a bony defect and dural closure.ConclusionsThis case demonstrates an unusual presentation of spontaneous intraventricular tension pneumocephalus necessitating ventriculostomy in addition to the traditional repair of a cerebrospinal fluid fistula.Copyright © 2018 Elsevier Inc. All rights reserved.
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