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KMID : 0361020210640110820
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Korean Journal of Otolaryngology - Head and Neck Surgery
2021 Volume.64 No. 11 p.820 ~ p.824
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Delayed Tension Pneumocephalus Following Intraoperative Cerebrospinal Fluid Leakage Repair
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Park Joon-Yong
Kim Han-Sol
Jung Tae-Sik
Kim Jin-Kook
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Abstract
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Tension pneumocephalus is a rare complication of endoscopic sinus surgery (ESS) that maylead to rapid neurologic deterioration. Symptoms typically develop within the first postoperativeweek after enough air has entered the intracranial cavity to create pressure on the dura.
Furthermore, there may be a rapid onset of symptoms after a positive pressure event. However,there may be a more insidious onset of symptoms in the absence of a positive pressureevent. We report a rare case of delayed tension pneumocephalus following an intraoperativecerebrospinal fluid leak repair. We discuss here the mechanisms of this complication and thediagnosis and treatment strategies of tension pneumocephalus after an ESS.
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KEYWORD
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Cerebrospinal fluid leak, Inverted papilloma, Natural orifice endoscopic surgery, Tension pneumocephalus
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