DOI QR코드

DOI QR Code

Communicating Hydrocephalus Onset Following a Traumatic Tension Pneumocephalus

  • Lee, Jin-Sung (Department of Neurosurgery, Wonkwang University Hospital) ;
  • Ahn, Sora (Department of Surgery, Division of Coloproctology, Wonkwang University Hospital) ;
  • Eom, Ki Seong (Department of Neurosurgery, Wonkwang University Hospital)
  • Received : 2016.06.02
  • Accepted : 2016.10.20
  • Published : 2016.12.20

Abstract

The entrapment of intracranial air from the check valve system results in a tension pneumocephalus. It should be distinguished from simple pneumocephalus because they are intracranial space-occupying masses that can threaten life. Communicating hydrocephalus is a serious and frequent complication of post-traumatic head injury. Head injury is one of the most common causes in etiopathogenesis of communicating hydrocephalus. Here, we describe a case of a 65-year-old man who developed communicating hydrocephalus after a post-traumatic tension pneumocephalus. To the best of our knowledge, this is the first reported case of communicating hydrocephalus developed after a post-traumatic tension pneumocephalus. Although the exact pathogenic mechanisms underlying the cascade following trauma remain unclear, communicating hydrocephalus after a tension pneumocephalus could be considered a possible complication.

Keywords

References

  1. Dabdoub CB, Salas G, Silveira Edo N, Dabdoub CF. Review of the management of pneumocephalus. Surg Neurol Int 2015;6:155. https://doi.org/10.4103/2152-7806.166195
  2. Sweni S, Senthilkumaran S, Balamurugan N, Thirumalaikolundusubramanian P. Tension pneumocephalus: a case report with review of literature. Emerg Radiol 2013;20:573-8. https://doi.org/10.1007/s10140-013-1135-7
  3. Reddy GK, Bollam P, Caldito G. Long-term outcomes of ventriculoperitoneal shunt surgery in patients with hydrocephalus. World Neurosurg 2014;81:404-10. https://doi.org/10.1016/j.wneu.2013.01.096
  4. Tian HL, Xu T, Hu J, Cui YH, Chen H, Zhou LF. Risk factors related to hydrocephalus after traumatic subarachnoid hemorrhage. Surg Neurol 2008;69:241-6. https://doi.org/10.1016/j.surneu.2007.02.032
  5. Jacobs JB, Persky MS. Traumatic pneumocephalus. Laryngoscope 1980;90:515-21. https://doi.org/10.1002/lary.5540900320
  6. Bae WK. Imaging of head injury. In: Hwang SC, editor. Neurotrauma. 2nd ed. Seoul: Koonja; 2014. p. 70-1.
  7. Monajati A, Cotanch WW. Subdural tension pneumocephalus following surgery. J Comput Assist Tomogr 1982;6:902-6. https://doi.org/10.1097/00004728-198210000-00006
  8. Hyun DK. Neurosurgical sequale. In: Hwang SC, editor. Neurotrauma. 2nd ed. Seoul: Koonja; 2014. p. 351-2.
  9. Guyot LL, Michael DB. Post-traumatic hydrocephalus. Neurol Res 2000;22:25-8. https://doi.org/10.1080/01616412.2000.11741034
  10. Gudeman SK, Kishore PR, Becker DP, Lipper MH, Girevendulis AK, Jeffries BF, et al. Computed tomography in the evaluation of incidence and significance of post-traumatic hydrocephalus. Radiology 1981;141:397-402. https://doi.org/10.1148/radiology.141.2.6974874

Cited by

  1. Clinical and Radiological Characteristics of Traumatic Pneumocephalus after Traumatic Brain Injury vol.16, pp.1, 2020, https://doi.org/10.13004/kjnt.2020.16.e5
  2. A Case of Traumatic Pneumocephalus on the Opposite Side of the Injury Site vol.16, pp.1, 2016, https://doi.org/10.13004/kjnt.2020.16.e9