Delayed spontaneous tension pneumocephalus caused by radionecrosis of the skull base.
We report a case of spontaneous tension pneumocephalus which occurred 6 years after radiotherapy for a nasopharyngeal carcinoma. A skull base defect and nasocranial fistula causing tension pneumocephalus was identified, and was repaired successfully. It proved to be due to skull base osteoradionecrosis.
Wu
C T
CT
Department of Neurosurgery, Chang Gung University, Taoyuan, Taiwan.
Lee
S T
ST
D002294:Carcinoma, Squamous Cell / Q000532:radiotherapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D009303:Nasopharyngeal Neoplasms / Q000532:radiotherapy; D010025:Osteoradionecrosis / Q000150:complications* / Q000601:surgery; D011007:Pneumocephalus / Q000209:etiology*; D019291:Skull Base / Q000528:radiation effects*; D014057:Tomography, X-Ray Computed