Intraventricular Tension Pneumocephalus as a Complication of Transfrontal Craniectomy: A Case Report
Objective— To report the diagnosis and surgical treatment of a case of intraventricular tension pneumocephalus in a dog after a transfrontal craniectomy for removal of a falx cerebri meningioma. Study design— Case report. Animal— A 12‐year‐old spayed English springer spaniel. Results— Intraventricul...
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| Published in | Veterinary surgery Vol. 31; no. 3; pp. 226 - 231 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Oxford, UK
Blackwell Science Inc
01.05.2002
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| Subjects | |
| Online Access | Get full text |
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| Abstract | Objective— To report the diagnosis and surgical treatment of a case of intraventricular tension pneumocephalus in a dog after a transfrontal craniectomy for removal of a falx cerebri meningioma.
Study design— Case report.
Animal— A 12‐year‐old spayed English springer spaniel.
Results— Intraventricular air and a fistula between the craniectomy site and ventricular system were identified by magnetic resonance imaging. Prompt repair of the dural defect using prosthetic dura mater resulted in immediate regression of the neurological signs and cerebral spinal fluid rhinorrhea. Magnetic resonance imaging repeated 8 weeks after surgery showed complete resolution of pneumocephalus.
Conclusions and clinical relevance— Tension pneumocephalus is an uncommon but life‐threatening complication of craniectomy that requires urgent diagnosis and treatment. |
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| AbstractList | Objective—
To report the diagnosis and surgical treatment of a case of intraventricular tension pneumocephalus in a dog after a transfrontal craniectomy for removal of a falx cerebri meningioma.
Study design—
Case report.
Animal—
A 12‐year‐old spayed English springer spaniel.
Results—
Intraventricular air and a fistula between the craniectomy site and ventricular system were identified by magnetic resonance imaging. Prompt repair of the dural defect using prosthetic dura mater resulted in immediate regression of the neurological signs and cerebral spinal fluid rhinorrhea. Magnetic resonance imaging repeated 8 weeks after surgery showed complete resolution of pneumocephalus.
Conclusions and clinical relevance—
Tension pneumocephalus is an uncommon but life‐threatening complication of craniectomy that requires urgent diagnosis and treatment. Objective— To report the diagnosis and surgical treatment of a case of intraventricular tension pneumocephalus in a dog after a transfrontal craniectomy for removal of a falx cerebri meningioma. Study design— Case report. Animal— A 12‐year‐old spayed English springer spaniel. Results— Intraventricular air and a fistula between the craniectomy site and ventricular system were identified by magnetic resonance imaging. Prompt repair of the dural defect using prosthetic dura mater resulted in immediate regression of the neurological signs and cerebral spinal fluid rhinorrhea. Magnetic resonance imaging repeated 8 weeks after surgery showed complete resolution of pneumocephalus. Conclusions and clinical relevance— Tension pneumocephalus is an uncommon but life‐threatening complication of craniectomy that requires urgent diagnosis and treatment. OBJECTIVETo report the diagnosis and surgical treatment of a case of intraventricular tension pneumocephalus in a dog after a transfrontal craniectomy for removal of a falx cerebri meningioma. STUDY DESIGNCase report. ANIMALA 12-year-old spayed English springer spaniel. RESULTSIntraventricular air and a fistula between the craniectomy site and ventricular system were identified by magnetic resonance imaging. Prompt repair of the dural defect using prosthetic dura mater resulted in immediate regression of the neurological signs and cerebral spinal fluid rhinorrhea. Magnetic resonance imaging repeated 8 weeks after surgery showed complete resolution of pneumocephalus. CONCLUSIONS AND CLINICAL RELEVANCETension pneumocephalus is an uncommon but life-threatening complication of craniectomy that requires urgent diagnosis and treatment. To report the diagnosis and surgical treatment of a case of intraventricular tension pneumocephalus in a dog after a transfrontal craniectomy for removal of a falx cerebri meningioma. Case report. A 12-year-old spayed English springer spaniel. Intraventricular air and a fistula between the craniectomy site and ventricular system were identified by magnetic resonance imaging. Prompt repair of the dural defect using prosthetic dura mater resulted in immediate regression of the neurological signs and cerebral spinal fluid rhinorrhea. Magnetic resonance imaging repeated 8 weeks after surgery showed complete resolution of pneumocephalus. Tension pneumocephalus is an uncommon but life-threatening complication of craniectomy that requires urgent diagnosis and treatment. |
| Author | Penderis, Jacques Dennis, Ruth Brearley, Jacky C. Garosi, Laurent S. Brearley, Malcom J. Kirkpatrick, P. J. |
| Author_xml | – sequence: 1 givenname: Laurent S. surname: Garosi fullname: Garosi, Laurent S. organization: From the Animal Health Trust, Centre for Small Animal Studies, Newmarket, England; and the University Department of Neurosurgery, Addenbrooke's Hospital, Cambridge, England – sequence: 2 givenname: Jacques surname: Penderis fullname: Penderis, Jacques organization: From the Animal Health Trust, Centre for Small Animal Studies, Newmarket, England; and the University Department of Neurosurgery, Addenbrooke's Hospital, Cambridge, England – sequence: 3 givenname: Malcom J. surname: Brearley fullname: Brearley, Malcom J. organization: From the Animal Health Trust, Centre for Small Animal Studies, Newmarket, England; and the University Department of Neurosurgery, Addenbrooke's Hospital, Cambridge, England – sequence: 4 givenname: Jacky C. surname: Brearley fullname: Brearley, Jacky C. organization: From the Animal Health Trust, Centre for Small Animal Studies, Newmarket, England; and the University Department of Neurosurgery, Addenbrooke's Hospital, Cambridge, England – sequence: 5 givenname: Ruth surname: Dennis fullname: Dennis, Ruth organization: From the Animal Health Trust, Centre for Small Animal Studies, Newmarket, England; and the University Department of Neurosurgery, Addenbrooke's Hospital, Cambridge, England – sequence: 6 givenname: P. J. surname: Kirkpatrick fullname: Kirkpatrick, P. J. organization: From the Animal Health Trust, Centre for Small Animal Studies, Newmarket, England; and the University Department of Neurosurgery, Addenbrooke's Hospital, Cambridge, England |
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| Notes | ArticleID:VSU226 ark:/67375/WNG-LGZL8WBG-Z istex:A47AB1EDB33A92A701E2544C2438742643BE3B16 Address reprint requests to Laurent S. Garosi, DVM, Diplomate ECVN, MRCVS, Animal Health Trust, Centre for Small Animal Studies, Lanwades Park, Kentford, Newmarket, Suffolk CB8 7UU, England. ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3 |
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| References_xml | – volume: 16 start-page: 54 year: 1985 end-page: 60 article-title: Evaluation of cerebrospinal fluid rhinorrhea by metrizamide computed tomographic cisternography publication-title: Neurosurgery – volume: 16 start-page: 415 year: 1959 end-page: 423 article-title: Regeneration of dural defects : A review publication-title: J Neurosurgery – volume: 22 start-page: 239 year: 1987 end-page: 241 article-title: Pneumocephalus: A possible cause of postoperative convulsions following cervical laminectomy publication-title: Anasth Intensivther Notfallmed – volume: 22 start-page: 259 year: 1994 end-page: 263 article-title: Two cases of traumatic intracerebral pneumocephalus publication-title: No Shinkei Geka – volume: 42 start-page: 648 year: 1993 end-page: 651 article-title: Postoperative air embolism caused by pneumatocephalus following occlusion of the posterior fossa. A rare complication indicative of a bridging vein disruption publication-title: Der Anaethesist – volume: 80 start-page: 1008 year: 1994 end-page: 1012 article-title: The incidence of pneumocephalus after supratentorial craniotomy publication-title: Observations on the disappearance of intracranial air. Anesthesiology – volume: 3 start-page: 381 year: 1989 end-page: 387 article-title: Tension pneumocephalus following evacuation of chronic subdural haematoma publication-title: Br J Neurosurg – volume: 38 start-page: 167 year: 1994 end-page: 170 article-title: Intraventricular pneumocephalus after posterior fossa and CSF shunting surgery publication-title: Case report. J Neurosurg Sci – volume: 22 start-page: 557 year: 1994 end-page: 560 article-title: Successful reconstruction of a skull base fracture with frontal lobe contusion by omental transplantation for recurrent posttraumatic tension pneumocephalus: A case report publication-title: No Shinkei Geka – volume: 18 start-page: 499 year: 1986 end-page: 501 article-title: Spontaneous intracerebral pneumocephalus after ventriculoperitoneal shunting in patients with posterior fossa tumors: Report of two cases publication-title: Neurosurgery – volume: 13 start-page: 214 year: 1999 end-page: 216 article-title: Delayed spontaneous tension pneumocephalus caused by radionecrosis of the skull base publication-title: Br J Neurosurg – volume: 51 start-page: 406 year: 1997 end-page: 407 article-title: Late tension pneumocephalus following frontal craniectomy publication-title: Int J Clin Pract – volume: 36 start-page: 32 year: 1991 end-page: 36 article-title: Pneumocephalus associated with benign brain tumor: Report of two cases publication-title: Surg Neurol – volume: 96 start-page: 521 year: 1986 end-page: 528 article-title: Otogenic pneumocephalus publication-title: Laryngoscope – volume: 36 start-page: 43 year: 2000 end-page: 50 article-title: A modified bilateral transfrontal sinus approach to the canine frontal lobe and olfactory bulb: Surgical technique and five cases publication-title: J Am Anim Hosp Assoc – volume: 84 start-page: 115 year: 2000 end-page: 117 article-title: Tension pneumocephalus after neurosurgery in the supine position publication-title: Br J Anaesthesia – volume: 14 start-page: 333 year: 1998 end-page: 337 article-title: Pneumocephalus after shunting for hydrocephalus publication-title: Childs Nerv Syst – volume: 25 start-page: 79 year: 1998 end-page: 81 article-title: Severe tension pneumocephalus complicating frontal sinus osteoma publication-title: Can J Neurol Sci – volume: 16 start-page: 273 year: 1987 end-page: 277 article-title: A surgical approach to the canine olfactory bulb for meningioma removal publication-title: Vet Surg – volume: 16 start-page: 1 year: 1967 end-page: 78 article-title: The clinical features of pneumocephalus based upon a survey of 284 cases with report of 11 additional cases publication-title: Acta Neurochirurgica – volume: 53 start-page: 40 year: 1982 end-page: 51 article-title: Surgical approach to the rostral cranial fossa by radical transfrontal craniotomy in the dog publication-title: J South Afr Vet Med Assoc – volume: 90 start-page: 622 year: 1972 end-page: 624 article-title: Transfrontal craniotomy in the dog publication-title: Vet Rec – volume: 92 start-page: 155 year: 1990 end-page: 157 article-title: Pneumocephalus at the cerebellopontine angle secondary to chronic otitis media publication-title: Clin Neurol Neurosurg – volume: 27 start-page: 412 year: 1990 end-page: 417 article-title: Extracranial repair of cerebrospinal fluid fistulas : technique and results in 37 patients publication-title: Neurosurgery – ident: e_1_2_4_2_2 doi: 10.1017/S0317167100033540 – ident: e_1_2_4_16_2 doi: 10.1080/02688699944032 – volume: 42 start-page: 648 year: 1993 ident: e_1_2_4_5_2 article-title: Postoperative air embolism caused by pneumatocephalus following occlusion of the posterior fossa. A rare complication indicative of a bridging vein disruption publication-title: Der Anaethesist contributor: fullname: Papadopoulos G – volume: 16 start-page: 54 year: 1985 ident: e_1_2_4_23_2 article-title: Evaluation of cerebrospinal fluid rhinorrhea by metrizamide computed tomographic cisternography publication-title: Neurosurgery contributor: fullname: Ahmadi J – volume: 51 start-page: 406 year: 1997 ident: e_1_2_4_7_2 article-title: Late tension pneumocephalus following frontal craniectomy publication-title: Int J Clin Pract doi: 10.1111/j.1742-1241.1997.tb11500.x contributor: fullname: Yu L – volume: 27 start-page: 412 year: 1990 ident: e_1_2_4_24_2 article-title: Extracranial repair of cerebrospinal fluid fistulas : technique and results in 37 patients publication-title: Neurosurgery doi: 10.1227/00006123-199009000-00012 contributor: fullname: McCormack B – ident: e_1_2_4_11_2 doi: 10.3109/02688698909002819 – ident: e_1_2_4_25_2 doi: 10.3171/jns.1959.16.4.0415 – ident: e_1_2_4_21_2 doi: 10.1093/oxfordjournals.bja.a013368 – ident: e_1_2_4_3_2 doi: 10.1288/00005537-198605000-00010 – ident: e_1_2_4_4_2 doi: 10.1016/0090-3019(91)90129-W – volume: 22 start-page: 557 year: 1994 ident: e_1_2_4_9_2 article-title: Successful reconstruction of a skull base fracture with frontal lobe contusion by omental transplantation for recurrent posttraumatic tension pneumocephalus: A case report publication-title: No Shinkei Geka contributor: fullname: Tokiyoshi K – ident: e_1_2_4_6_2 doi: 10.1097/00000542-199405000-00009 – ident: e_1_2_4_20_2 doi: 10.1136/vr.90.22.622 – ident: e_1_2_4_22_2 doi: 10.1007/BF01401900 – volume: 22 start-page: 259 year: 1994 ident: e_1_2_4_8_2 article-title: Two cases of traumatic intracerebral pneumocephalus publication-title: No Shinkei Geka contributor: fullname: Hotta T – ident: e_1_2_4_13_2 doi: 10.1097/00006123-198604000-00024 – ident: e_1_2_4_15_2 doi: 10.1007/s003810050238 – ident: e_1_2_4_18_2 doi: 10.1111/j.1532-950X.1987.tb00952.x – ident: e_1_2_4_12_2 doi: 10.1055/s-2007-1002544 – ident: e_1_2_4_17_2 doi: 10.5326/15473317-36-1-43 – volume: 38 start-page: 167 year: 1994 ident: e_1_2_4_14_2 article-title: Intraventricular pneumocephalus after posterior fossa and CSF shunting surgery publication-title: Case report. J Neurosurg Sci contributor: fullname: Ruelle A – ident: e_1_2_4_10_2 doi: 10.1016/0303-8467(90)90093-K – volume: 53 start-page: 40 year: 1982 ident: e_1_2_4_19_2 article-title: Surgical approach to the rostral cranial fossa by radical transfrontal craniotomy in the dog publication-title: J South Afr Vet Med Assoc contributor: fullname: DeWet PD |
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| SubjectTerms | Animals Cerebral Ventricles Craniotomy - adverse effects Craniotomy - veterinary Diagnosis, Differential Dog Diseases - diagnosis Dog Diseases - diagnostic imaging Dog Diseases - surgery Dogs Female Fistula - etiology Fistula - pathology Fistula - surgery Magnetic Resonance Imaging - veterinary Meningeal Neoplasms - diagnosis Meningeal Neoplasms - surgery Meningeal Neoplasms - veterinary Meningioma - diagnosis Meningioma - surgery Meningioma - veterinary Pneumocephalus - etiology Pneumocephalus - pathology Pneumocephalus - surgery Radiography |
| Title | Intraventricular Tension Pneumocephalus as a Complication of Transfrontal Craniectomy: A Case Report |
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