| Tension Pneumocephalus after Ventriculoperitoneal Shunt in a Patient with Basal Skull Fracture |
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Na Young Jung , In Soo Kim |
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Department of Neurosurgery, Keimyung University College of Medicine, Dongsan Medical Center, Daegu, Korea |
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| Abstract |
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A tension pneumocephalus is a rare case resulting from ventriculoperitoneal (V-P) shunt for hydrocephalus. The patient had a history of craniectomy due to fracture of compound, comminuted, depressed on right frontotemporal bone with open scalp wound. He also had cerebral contusion on right temporal lobe with subdural hematoma and right orbital roof fracture. He underwent cranioplasty to repair skull defect, followed by shunt surgery for communicating hydrocephalus. His consciousness suddenly deteriorated 5 months after shunt surgery. Computed tomography of the brain showed large tension pneumocephalus because of craniodural defect on the right frontal base. After the repair of the defect, the patient’s mental status improved and the symptoms were fully recovered. We report a patient with basal skull fracture of the frontal bone who developed a delayed tension pneumocephalus following V-P shunt. Efficacious treatments are discussed along with the review of previously reported cases. |
| Key Words:
HydrocephalusㆍPneumocephalusㆍVentriculoperitoneal shunt |
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