title: [Tension pneumocephalus after surgical treatment of a bilateral chronic subdural hematoma: a banal and serious complication].
abstract: The occurrence of postoperative pneumocephalus is a common event and is often trivial. When the intracranial air volume is significant, it creates intracranial hypertension causing tension pneumocephalus. This case report describes the occurrence of tension pneumocephalus after surgical drainage of bilateral chronic subdural hematoma. The pneumocephalus was responsible for severe postoperative neurological deterioration. The attending physicians should be aware of the possibility of occurrence of such complication. Treatment and prevention of pneumocephalus should also be well known by the medical staff.
authors.affiliation: Pôle anesthésie réanimation, hôpital militaire Avicenne, faculté de médecine et de pharmacie, université Cadi Ayyad, 40010 Marrakech, Maroc. Electronic address: younes.aissaoui@live.fr.
authors.forename: Y
authors.initials: Y
authors.lastname: Aissaoui
authors.affiliation: Pôle anesthésie réanimation, hôpital militaire Avicenne, faculté de médecine et de pharmacie, université Cadi Ayyad, 40010 Marrakech, Maroc.
authors.forename: K
authors.initials: K
authors.lastname: Chkoura
authors.affiliation: Service de neurochirurgie, hôpital militaire d'instruction Mohammed V, faculté de médecine et de pharmacie, université Mohammed V Souissi, 10045 Rabat, Maroc.
authors.forename: A
authors.initials: A
authors.lastname: Belhachmi
authors.affiliation: Pôle anesthésie réanimation, hôpital militaire Avicenne, faculté de médecine et de pharmacie, université Cadi Ayyad, 40010 Marrakech, Maroc.
authors.forename: M
authors.initials: M
authors.lastname: Boughalem
mesh_terms: D000368:Aged; D001930:Brain Injuries / Q000150:complications / Q000628:therapy; D003428:Cross Infection / Q000628:therapy; D004322:Drainage; D057510:Endovascular Procedures / Q000009:adverse effects*; D017809:Fatal Outcome; D020200:Hematoma, Subdural, Chronic / Q000601:surgery*; D006801:Humans; D007710:Klebsiella Infections / Q000628:therapy; D007711:Klebsiella pneumoniae; D008279:Magnetic Resonance Imaging; D008297:Male; D009422:Nervous System Diseases / Q000209:etiology / Q000628:therapy; D011007:Pneumocephalus / Q000209:etiology* / Q000628:therapy*; D053717:Pneumonia, Ventilator-Associated / Q000628:therapy; D011183:Postoperative Complications / Q000628:therapy*
keywords: Chronic subdural hematoma; Complication postopératoire; Hématome sous-dural chronique; Pneumocephalus; Pneumocéphalie; Pneumocéphalie compressive; Postoperative complication; Tension pneumocephalus