Tension pneumoventricle in a patient with a ventriculoperitoneal shunt and an ethmoidal meningoencephalocele.
| Autor: | De Jesus O; Department of Neurosurgery, University of Puerto Rico, San Juan, United States., Fernández-de Thomas RJ; Department of Neurosurgery, University of Puerto Rico, San Juan, United States., Feliciano C; Department of Neurosurgery, University of Puerto Rico, San Juan, United States. |
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| Jazyk: | angličtina |
| Zdroj: | Surgical neurology international [Surg Neurol Int] 2022 May 13; Vol. 13, pp. 202. Date of Electronic Publication: 2022 May 13 (Print Publication: 2022). |
| DOI: | 10.25259/SNI_64_2022 |
| Abstrakt: | Background: Tension pneumoventricle is a rare, life-threatening complication. It has been rarely described in patients with ventriculoperitoneal (VP) shunts. Case Description: A 28-year-old male patient with a VP shunt became progressively lethargic after falling from his wheelchair. Skull X-rays and head CT scan showed abundant air inside the ventricles. He was taken to the operating room, and the shunt was revised without improvement. Two days later, a frontal external ventricular drain was placed to remove the air. In the investigation toward the etiology of the pneumoventricle, a review of previous head CT scans and brain MRIs showed that the patient had a small left frontonasal meningoencephalocele extending into the ethmoid, which had been unnoticed. He underwent repair of the defect with adequate sealing of the frontal skull base. Conclusion: In a shunted patient with moderate or severe symptoms from a tension pneumoventricle, external ventricular drainage is required to remove the air as the shunt is inadequate. Competing Interests: There are no conflicts of interest. (Copyright: © 2022 Surgical Neurology International.) |
| Databáze: | MEDLINE |
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