Tension Pneumoventricle Secondary to Cutaneous-Ventricular Fistula: Case Report and Literature Review
Tension pneumoventricle (TPV) is a subtype of tension pneumocephalus in which the air is trapped inside the ventricles through a one-way osteodural defect, causing an increase in intracranial pressure. TPV secondary to cutaneous-ventricular fistula has been reported only twice in the literature. Her...
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| Veröffentlicht in: | World neurosurgery 2020-10, Vol.142, p.155-158 |
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| creator | Almubarak, Abdulaziz Oqalaa Fakhroo, Fatima Alhuthayl, Meshari Rashed Kanaan, Imad Aldahash, Homoud |
| description | Tension pneumoventricle (TPV) is a subtype of tension pneumocephalus in which the air is trapped inside the ventricles through a one-way osteodural defect, causing an increase in intracranial pressure. TPV secondary to cutaneous-ventricular fistula has been reported only twice in the literature.
Herein, we report the third case in a 53-year-old woman who developed TPV with decreased level of consciousness after removal of a posterior fossa meningioma while she was on external ventricular drainage. There was no identifiable bony defect on neuroimaging. The drain was changed urgently, and the fistula located at the drain tunneling site was sealed.
This case report highlights the importance of suspecting and treating cutaneous-ventricular fistulas in TPV urgently in patients without skull base defects or those who showed no improvements with external ventricular drainage. |
| doi_str_mv | 10.1016/j.wneu.2020.06.145 |
| format | Article |
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Herein, we report the third case in a 53-year-old woman who developed TPV with decreased level of consciousness after removal of a posterior fossa meningioma while she was on external ventricular drainage. There was no identifiable bony defect on neuroimaging. The drain was changed urgently, and the fistula located at the drain tunneling site was sealed.
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Herein, we report the third case in a 53-year-old woman who developed TPV with decreased level of consciousness after removal of a posterior fossa meningioma while she was on external ventricular drainage. There was no identifiable bony defect on neuroimaging. The drain was changed urgently, and the fistula located at the drain tunneling site was sealed.
This case report highlights the importance of suspecting and treating cutaneous-ventricular fistulas in TPV urgently in patients without skull base defects or those who showed no improvements with external ventricular drainage.</description><subject>Cerebral Ventricles - diagnostic imaging</subject><subject>Cerebral Ventricles - surgery</subject><subject>Cutaneous Fistula - complications</subject><subject>Cutaneous Fistula - diagnostic imaging</subject><subject>Cutaneous Fistula - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Middle Aged</subject><subject>Pneumocephalus - diagnostic imaging</subject><subject>Pneumocephalus - etiology</subject><subject>Pneumocephalus - surgery</subject><subject>Pneumoventricle</subject><subject>Postoperative Complications - diagnostic imaging</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Complications - surgery</subject><subject>Tension pneumocephalus</subject><issn>1878-8750</issn><issn>1878-8769</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kFFLwzAUhYMobsz9AR8kj760Js2aNuKLDKfCQNHpa8jSW8jompmkG_57U6p79L7cS_jOIecgdElJSgnlN5v00EKXZiQjKeEpneUnaEzLokzKgovT452TEZp6vyFxGJ2VBTtHI5blQtBSjBGsoPXGtvg1um3tHtrgjG4Av4O2baXcNw4Wz7ugWrCdTz4HoGuUwwvjQzxu8Vx5wG-wsy5g1VZ4aQI4FTrXv-4NHC7QWa0aD9PfPUEfi4fV_ClZvjw-z--XiWY5DwkVhVaKgVhXCnhV57nKtKgU1azgwAiFkjFN6nXNi5qDpmxWUqLrNcshSgs2QdeD787Zrw58kFvjNTTN8HuZzagggpVZHtFsQLWz3juo5c6ZbcwrKZF9w3Ij-4Zl37AkXMaGo-jq179bb6E6Sv76jMDdAEBMGZM76bWBVkNlHOggK2v-8_8B0SWPAA</recordid><startdate>202010</startdate><enddate>202010</enddate><creator>Almubarak, Abdulaziz Oqalaa</creator><creator>Fakhroo, Fatima</creator><creator>Alhuthayl, Meshari Rashed</creator><creator>Kanaan, Imad</creator><creator>Aldahash, Homoud</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2625-3626</orcidid></search><sort><creationdate>202010</creationdate><title>Tension Pneumoventricle Secondary to Cutaneous-Ventricular Fistula: Case Report and Literature Review</title><author>Almubarak, Abdulaziz Oqalaa ; Fakhroo, Fatima ; Alhuthayl, Meshari Rashed ; Kanaan, Imad ; Aldahash, Homoud</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-197caa3e9bdae6df55a2c9da1c376e301e833c0fbf67f6ec134810cfb35e97c73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Cerebral Ventricles - diagnostic imaging</topic><topic>Cerebral Ventricles - surgery</topic><topic>Cutaneous Fistula - complications</topic><topic>Cutaneous Fistula - diagnostic imaging</topic><topic>Cutaneous Fistula - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Middle Aged</topic><topic>Pneumocephalus - diagnostic imaging</topic><topic>Pneumocephalus - etiology</topic><topic>Pneumocephalus - surgery</topic><topic>Pneumoventricle</topic><topic>Postoperative Complications - diagnostic imaging</topic><topic>Postoperative Complications - etiology</topic><topic>Postoperative Complications - surgery</topic><topic>Tension pneumocephalus</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Almubarak, Abdulaziz Oqalaa</creatorcontrib><creatorcontrib>Fakhroo, Fatima</creatorcontrib><creatorcontrib>Alhuthayl, Meshari Rashed</creatorcontrib><creatorcontrib>Kanaan, Imad</creatorcontrib><creatorcontrib>Aldahash, Homoud</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>World neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Almubarak, Abdulaziz Oqalaa</au><au>Fakhroo, Fatima</au><au>Alhuthayl, Meshari Rashed</au><au>Kanaan, Imad</au><au>Aldahash, Homoud</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Tension Pneumoventricle Secondary to Cutaneous-Ventricular Fistula: Case Report and Literature Review</atitle><jtitle>World neurosurgery</jtitle><addtitle>World Neurosurg</addtitle><date>2020-10</date><risdate>2020</risdate><volume>142</volume><spage>155</spage><epage>158</epage><pages>155-158</pages><issn>1878-8750</issn><eissn>1878-8769</eissn><abstract>Tension pneumoventricle (TPV) is a subtype of tension pneumocephalus in which the air is trapped inside the ventricles through a one-way osteodural defect, causing an increase in intracranial pressure. TPV secondary to cutaneous-ventricular fistula has been reported only twice in the literature.
Herein, we report the third case in a 53-year-old woman who developed TPV with decreased level of consciousness after removal of a posterior fossa meningioma while she was on external ventricular drainage. There was no identifiable bony defect on neuroimaging. The drain was changed urgently, and the fistula located at the drain tunneling site was sealed.
This case report highlights the importance of suspecting and treating cutaneous-ventricular fistulas in TPV urgently in patients without skull base defects or those who showed no improvements with external ventricular drainage.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>32599189</pmid><doi>10.1016/j.wneu.2020.06.145</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0002-2625-3626</orcidid></addata></record> |
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| subjects | Cerebral Ventricles - diagnostic imaging Cerebral Ventricles - surgery Cutaneous Fistula - complications Cutaneous Fistula - diagnostic imaging Cutaneous Fistula - surgery Female Humans Middle Aged Pneumocephalus - diagnostic imaging Pneumocephalus - etiology Pneumocephalus - surgery Pneumoventricle Postoperative Complications - diagnostic imaging Postoperative Complications - etiology Postoperative Complications - surgery Tension pneumocephalus |
| title | Tension Pneumoventricle Secondary to Cutaneous-Ventricular Fistula: Case Report and Literature Review |
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