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Journal of Neurosurgical Sciences 2010 September;54(3):109-11

language: English

Progressive tension pneumocephalus as a delayed postoperative complication in the absence of any obvious CSF leak

Demetriades A. K. 1, Pretorius P. 2, Stacey R. 1

1 Department of Neuroradiology, John Radcliffe Hospital, Oxford, UK;
2 Department of and Neuroradiology, John Radcliffe Hospital, Oxford, UK


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Tension pneumocephalus is a rare neurosurgical emergency usually causing rapid deterioration. Slowly-progressive postoperative tension pneumocephalus is very rare. We present a case that came to our attention 5 weeks after a craniotomy with gradual development of symptoms, and in the absence of any obvious CSF leak. A dural defect causing a one-way valve system was found at explorative craniotomy.

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andreas.demetriades@gmail.com