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Journals / Turkish Neurosurgery / 2013 / Cilt: 23 - Sayı: 4

Normal Basınçlı Hidrosefali Nedeniyle Yapılan Ventriküloperitoneal Şant Cerrahisi Sonrası Gelişen Akut Tansiyon Pnömosefali

Emergency Management of an Acute Tension Pneumocephalus Following Ventriculoperitoneal Shunt Surgery for Normal Pressure Hydrocephalus

Aydın AYDOSELİ
Mehmet Osman AKCAKAYA
Yavuz ARAS
Osman BOYALI
Ömer Faruk ÜNAL
Pages
564–567
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The use of the portable CT scanner in this case saved significant time, without the transport of the patient to the radiology unit, made early surgical intervention possible, and prevented morbidity and mortality.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Tension pneumocephalus is a rare and life threatening complication of intracranial surgical procedures, and requires immediate recognition and surgical intervention.
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Key Findings & Data:Tension pneumocephalus following ventriculoperitoneal shunt surgery is extremely rare and commonly seen as a delayed complication.
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Conclusion & Impact:The use of the portable CT scanner in this case saved significant time, without the transport of the patient to the radiology unit, made early surgical intervention possible, and prevented morbidity and mortality.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Tension pneumocephalus is a rare and life threatening complication of intracranial surgical procedures, and requires immediate recognition and surgical intervention. Tension pneumocephalus following ventriculoperitoneal shunt surgery is extremely rare and commonly seen as a delayed complication. To our knowledge, early postoperative tension pneumocephalus after shunt surgery was reported only in one other publication. We present a case of acute tension pneumocephalus following ventriculoperitoneal shunt surgery for normal pressure hydrocephalus, which was managed well with close neurological follow-up and rapid surgical intervention. The use of the portable CT scanner in this case saved significant time, without the transport of the patient to the radiology unit, made early surgical intervention possible, and prevented morbidity and mortality.

Özet

Tansiyon pnömosefali, intrakranyal cerrahi girişimler sonrası nadir gelişen ancak hayatı tehdit eden bir patolojidir. Bu nedenle erken tanı konulması ve acil cerrahi müdahale edilmesi gerekir. Şant cerrahisi sonrası gelişen tansiyon pnömosefali daha da nadirdir ve genelde geç dönemde ortaya çıkmaktadır. Bildiğimiz kadarıyla literatürde sadece bir tane ameliyat sonrası erken dönemde gelişen akut pnömosefali olgusu mevcuttur. Bu yazıda normal basınçlı hidrosefali nedeniyle yapılan ventriküloperitoneal şant cerrahisini takiben gelişen, yakın nörolojik muayene ve acil cerrahi müdahale ile uygun şekilde yönetilen bir akut tansiyon pnömosefali olgusu sunulmaktadır. Bu olguda ameliyathanemizde bulunan mobil BT cihazının kullanılması hastanın radyoloji birimine transportunu gerektirmeden erken tanı konulmasını ve buna bağlı olarak erken cerrahi müdahaleyi olanaklı kılmış, morbidite ve mortalite gelişmesini engellemiştir.

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Cite This Article

AYDOSELİ, A., AKCAKAYA, M. O., ARAS, Y., BOYALI, O., ÜNAL, Ö. F. (2013). Normal Basınçlı Hidrosefali Nedeniyle Yapılan Ventriküloperitoneal Şant Cerrahisi Sonrası Gelişen Akut Tansiyon Pnömosefali. Turkish Neurosurgery, Cilt: 23 - Sayı: 4, 564–567. https://ajindex.com/articles/404997

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References (1)

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