title: Akinetic mutism and parkinsonism due to subdural and intraventricular tension pneumocephalus.
abstract: Pneumocephalus may occur after intracranial surgery and is most often asymptomatic. It is usually associated with posterior fossa surgery. Here, we present a 56-year-old man who developed akinetic mutism and parkinsonism caused by subdural and intraventricular tension pneumocephalus associated with decompression of a chronic subdural hygroma. As an emergency treatment, air was exchanged with saline via the drainage, which then was removed and a subduro-peritoneal shunt was implanted. The condition described here requires immediate attention and appropriate treatment.
authors: Department of Neurosurgery, Medical School Hannover, Hannover, Germany.
authors: Götz
authors: G
authors: Lütjens
authors: Department of Neurosurgery, Medical School Hannover, Hannover, Germany.
authors: H Holger
authors: HH
authors: Capelle
authors: Department of Neurosurgery, Medical School Hannover, Hannover, Germany.
authors: Joachim K
authors: JK
authors: Krauss
mesh_terms: D000405:Akinetic Mutism / Q000209:etiology*; D001932:Brain Neoplasms / Q000601:surgery; D004322:Drainage; D005909:Glioblastoma / Q000601:surgery; D006423:Hemianopsia / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D010300:Parkinson Disease / Q000209:etiology*; D011007:Pneumocephalus / Q000150:complications* / Q000209:etiology* / Q000628:therapy; D011183:Postoperative Complications / Q000628:therapy*