Delayed Progressive Intraparenchymal Tension Pneumocephalus after Craniotomy for Recurrent Pituitary Macroadenoma: A Case Report

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Hoz Samer S.; Baban Khatab; Sabah Mohamad; Aktham Awfa; arvaez Rojas Alexis Rafael; MOSCOTE SALAZAR LUIS RAFAEL

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Journal: Bulletin of Emergency And Trauma Year:2018 | Volume:6 | Issue:2 Page(s): 174-177

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Title

Delayed Progressive Intraparenchymal Tension Pneumocephalus after Craniotomy for Recurrent Pituitary Macroadenoma: A Case Report

Author(s)

Keywords

Tension pneumocephalus

Craniotomy

Pituitary adenoma

Abstract

Pneumocephalus is defined as the presence of air in the intracranial cavity. In most cases, its evolution is asymptomatic and benign. Pneumocephalus post-surgery is a frequent complication of cranial surgery. We herein report delayed Tension pneumocephalus after Craniotomy for pituitary macroadenoma. A 73-yearold man with recurrent pituitary macroadenoma underwent subtotal resection via subfrontal approach. The postoperative course was uneventful and the patients regained his normal daily living activities. Two months after the surgery the patients developed decreased level of consciousness and was diagnosed to suffer from Tension pneumocephalus. Another Craniotomy was performed and the dural defect at the base was repair with secondary graft and bone wax. The patient improved neurologically and had no pneumocephalus. The followup revealed good condition and outcome. In conclusion, Tension pneumocephalus can occur at any time after Craniotomy and post-surgical deterioration after resection of a giant pituitary tumor should be immediately assessed. There is not enough evidence to correlated tumor size with rates of pneumocephalus in this particular report, but further cases may need to be studied to come to a conclusion.

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APA: Copy

Hoz, Samer S., Baban, Khatab, Sabah, Mohamad, Aktham, Awfa, arvaez Rojas, Alexis Rafael, & MOSCOTE SALAZAR, LUIS RAFAEL. (2018). Delayed Progressive Intraparenchymal Tension Pneumocephalus after Craniotomy for Recurrent Pituitary Macroadenoma: A Case Report. BULLETIN OF EMERGENCY AND TRAUMA BEAT, 6(2), 174-177. SID. https://sid.ir/paper/335087/en

Vancouver: Copy

Hoz Samer S., Baban Khatab, Sabah Mohamad, Aktham Awfa, arvaez Rojas Alexis Rafael, MOSCOTE SALAZAR LUIS RAFAEL. Delayed Progressive Intraparenchymal Tension Pneumocephalus after Craniotomy for Recurrent Pituitary Macroadenoma: A Case Report. BULLETIN OF EMERGENCY AND TRAUMA BEAT[Internet]. 2018;6(2):174-177. Available from: https://sid.ir/paper/335087/en

IEEE: Copy

Samer S. Hoz, Khatab Baban, Mohamad Sabah, Awfa Aktham, Alexis Rafael arvaez Rojas, and LUIS RAFAEL MOSCOTE SALAZAR, “Delayed Progressive Intraparenchymal Tension Pneumocephalus after Craniotomy for Recurrent Pituitary Macroadenoma: A Case Report,” BULLETIN OF EMERGENCY AND TRAUMA BEAT, vol. 6, no. 2, pp. 174–177, 2018, [Online]. Available: https://sid.ir/paper/335087/en

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