Tension pneumocephalus after evacuation of chronic subdural hematoma and subsequent treatment with continuous lumbar subarachnoid infusion and craniostomy drainage.
We present a case of tension pneumocephalus after burr hole evacuation of bilateral chronic subdural hematomas. Subsequent treatment was effected with combined twist drill closed system drainage and continuous intrathecal infusion of a physiological solution. The clinical entity, tension pneumocephalus, and the use of continuous subarachnoid infusion and drainage as a method of cerebral reexpansion are discussed.
D000368:Aged; D004322:Drainage / Q000379:methods; D006408:Hematoma, Subdural / Q000601:surgery*; D006801:Humans; D007552:Isotonic Solutions / Q000627:therapeutic use; D008297:Male; D011007:Pneumocephalus / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D013346:Subarachnoid Space; D014057:Tomography, X-Ray Computed
C037172:Elliott's solution; D007552:Isotonic Solutions