Delayed Pneumocephalus-Induced Cranial Neuropathy

Autor: Neena I. Marupudi, Monika Mittal, Sandeep Mittal
Jazyk: angličtina
Rok vydání: 2013
Předmět:
Zdroj: Case Reports in Medicine, Vol 2013 (2013)
Druh dokumentu: article
ISSN: 1687-9627
1687-9635
DOI: 10.1155/2013/105087
Popis: Pneumocephalus is a common occurrence after cranial surgery, with patients typically remaining asymptomatic from a moderate amount of intracranial air. Postsurgical pneumocephalus rarely causes focal neurological deficits; furthermore, cranial neuropathy from postsurgical pneumocephalus is exceedingly uncommon. Only 3 cases have been previously reported that describe direct cranial nerve compression from intracranial air resulting in an isolated single cranial nerve deficit. The authors present a patient who developed dysconjugate eye movements from bilateral oculomotor nerve palsy. Direct cranial nerve compression occurred as a result of postoperative pneumocephalus in the interpeduncular cistern. The isolated cranial neuropathy gradually recovered as the intracranial air was reabsorbed.
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