{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,4]],"date-time":"2022-04-04T03:17:56Z","timestamp":1649042276844},"reference-count":4,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nTension pneumocephalus is a rare complication after intracranial procedures and craniotomy. We report a rare case of intraventricular and subdural tension pneumocephalus occurring 2 months after repeat right-sided microvascular decompression (MVD) for recurrent trigeminal neuralgia.<\/jats:p>\n<\/jats:sec>\n\nCase Description: <\/jats:title>\nThe patient in this case was a 79-year-old woman who presented with acute-onset confusion, headaches, nausea, and vomiting. On computed tomography, substantial volumes of pneumocephalus in the fourth ventricle and subdural space at the site of the retrosigmoid exposure for the previous MVD were seen. She underwent emergent wound exploration, and no obvious dural defect or exposed mastoid air cells were identified. The dura was reopened, and the surgical site was copiously irrigated. Mastoid air cells were covered with ample amounts of bone wax, and the wound was closed. The patient recovered well postoperatively with complete resolution of the pneumocephalus by her 3-month follow-up evaluation.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nIt is important to assess for cerebrospinal fluid leakage and that air cells are sealed off before wound closure to prevent a pathway for air to egress into the surgical cavity and corridor.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_917_2020","type":"journal-article","created":{"date-parts":[[2021,6,27]],"date-time":"2021-06-27T19:08:23Z","timestamp":1624820903000},"page":"311","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Rare incidence of tension pneumocephalus 2 months after repeat microvascular decompression"],"prefix":"10.25259","volume":"12","author":[{"given":"Jaims","family":"Lim","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Nyabuto","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kunal","family":"Vakharia","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elad I.","family":"Levy","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, United States."},{"name":"Department of Radiology, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2021,6,28]]},"reference":[{"key":"10.25259\/SNI_917_2020\/ref-1","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1097\/00005537-199901000-00032","article-title":"Use of bone wax in the prevention of cerebrospinal fluid fistula in acoustic neuroma surgery","volume":"109","author":"Gal","year":"1999","journal-title":"Laryngoscope"},{"key":"10.25259\/SNI_917_2020\/ref-2","doi-asserted-by":"crossref","first-page":"1008","DOI":"10.1097\/00000542-199405000-00009","article-title":"The incidence of pneumocephalus after supratentorial craniotomy. Observations on the disappearance of intracranial air","volume":"80","author":"Reasoner","year":"1994","journal-title":"Anesthesiology"},{"key":"10.25259\/SNI_917_2020\/ref-3","doi-asserted-by":"crossref","first-page":"690.e17","DOI":"10.1016\/j.wneu.2015.11.090","article-title":"Isolated, transient, pneumocephalus-induced oculomotor neuropathy after microvascular decompression of the trigeminal nerve","volume":"88","author":"Steele","year":"2016","journal-title":"World Neurosurg"},{"key":"10.25259\/SNI_917_2020\/ref-4","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1016\/j.wneu.2018.03.076","article-title":"Spontaneous intraventricular tension pneumocephalus: Case report and review of the literature","volume":"114","author":"Young","year":"2018","journal-title":"World Neurosurg"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/rare-incidence-of-tension-pneumocephalus-2-months-after-repeat-microvascular-decompression\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/rare-incidence-of-tension-pneumocephalus-2-months-after-repeat-microvascular-decompression\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,6,27]],"date-time":"2021-06-27T19:08:27Z","timestamp":1624820907000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/rare-incidence-of-tension-pneumocephalus-2-months-after-repeat-microvascular-decompression\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,28]]},"references-count":4,"alternative-id":["10.25259\/SNI_917_2020"],"URL":"https:\/\/doi.org\/10.25259\/sni_917_2020","relation":{},"ISSN":["2152-7806"],"issn-type":[{"value":"2152-7806","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,6,28]]},"article-number":"311"}}