title: Tension pneumocephalus following pterional craniotomy for treatment of intracavernous internal carotid artery aneurysm.
abstract: The occurrence of tension pneumocephalus following intracranial aneurysm surgery is a rare event. Here, we present a case of extradural tension pneumocephalus following pterional craniotomy for the treatment of intracavernous internal carotid artery aneurysm. It has been caused by a fistulous communication between the posterior wall of the frontal sinus and the extradural space. Successful obliteration of this aberrant communication tract was performed using fibrin glue, with complete resolution of the pneumocephalus.
authors.affiliation: Department of Neurosurgery, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: E A
authors.initials: EA
authors.lastname: Alibai
authors.forename: A K
authors.initials: AK
authors.lastname: Rahmanian
authors.forename: A
authors.initials: A
authors.lastname: Razmkon
authors.forename: S A
authors.initials: SA
authors.lastname: Nabavizadeh
mesh_terms: D002343:Carotid Artery, Internal / Q000601:surgery; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011007:Pneumocephalus / Q000150:complications* / Q000000981:diagnostic imaging; D011859:Radiography