title: [Pneumocephalus after spinal anesthesia].
abstract: We report the case of a 76-year-old man who received a spinal anaesthesia for inguinal hernia repair surgery. A cranial CT scan which was performed because the patient complained of postoperative headache and hemiparesis showed an important pneumocephalus. Because postoperative questioning revealed that the patient had a chronic and neglected rhinorrhea, we hypothesise that this pneumocephalus was secondary to an old unknown osteodural leak with intracranial air entry secondary to the spinal anaesthesia-releated decrease in CSF pressure.
authors.affiliation: Département d'anesthésie-réanimation chirurgicale I, hôpital R. Salengro, CHRU, 59037 Lille, France.
authors.forename: T
authors.initials: T
authors.lastname: Dépret
authors.forename: G
authors.initials: G
authors.lastname: Le Falher
authors.forename: M
authors.initials: M
authors.lastname: Delecroix
authors.forename: D
authors.initials: D
authors.lastname: Brasdefer
authors.forename: R
authors.initials: R
authors.lastname: Krivosic-Horber
mesh_terms: D000368:Aged; D000775:Anesthesia, Spinal / Q000009:adverse effects*; D006552:Hernia, Inguinal / Q000601:surgery; D006801:Humans; D008297:Male; D011007:Pneumocephalus / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D014057:Tomography, X-Ray Computed