Spontaneous pneumocephalus from nasal continuous positive airway pressure in a patient with ventriculo-peritoneal shunt.

Autor: Chee BN; Department of Neurosurgery, The Austin Hospital, 145 Studley Rd., Heidelberg 3084, VIC, Australia. Electronic address: brianchee.mbbs@gmail.com., Abdul Jalil MF; Department of Neurosurgery, The Austin Hospital, 145 Studley Rd., Heidelberg 3084, VIC, Australia., Bulluss KJ; Department of Neurosurgery, The Austin Hospital, 145 Studley Rd., Heidelberg 3084, VIC, Australia.
Jazyk: angličtina
Zdroj: Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia [J Clin Neurosci] 2016 Dec; Vol. 34, pp. 215-217. Date of Electronic Publication: 2016 Aug 16.
DOI: 10.1016/j.jocn.2016.05.040
Abstrakt: Pneumocephalus in patients receiving positive airway pressure ventilation commonly occurs in the setting of trauma or surgery. We report a case of atraumatic pneumocephalus in a patient with a ventriculoperitoneal (VP) shunt on nasal continuous positive airway pressure (CPAP) for obstructive sleep apnoea. The patient presented with a 1-week history of "gurgling" sensation in his head and ataxia, with CT scan findings of a significant pneumocephalus. As extensive work up did not reveal any cause for his pneumocephalus, the nasal CPAP was thought to be the source. The CPAP was discontinued with improvement of the pneumocephalus, and resolution of his symptoms. He subsequently represented with recurrence of his symptoms, and increasing pneumocephalus on imaging. This was successfully managed by increasing his shunt pressure.
(Copyright © 2016 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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