title: [Two cases of pneumocephalus following noninvasive continuous positive airway ventilation after transsphenoidal neurosurgery].
abstract: The early use of continuous positive airway pressure ventilation has been shown to be effective and is recommended for patients with obstructive sleep apnea. The complications of continuous positive airway pressure ventilation are not well described. We report two cases of pneumocephalus following the use of continuous positive airway pressure ventilation after transsphenoidal surgery. One patient had an obstructive sleep apnea and the other suffered acute respiratory failure. In both cases, pneumocephalus caused major morbidity and required specific treatment and prolonged considerably hospital stay. Based on these observations we believe new precautions in the use of noninvasive continuous positive airway pressure ventilation should be recommended.
authors.affiliation: Fondation ophtalmologique A.-de Rothschild, 25, rue Manin, 75019 Paris, France.
authors.forename: D
authors.initials: D
authors.lastname: Zlotnik
authors.affiliation: Fondation ophtalmologique A.-de Rothschild, 25, rue Manin, 75019 Paris, France. Electronic address: gtaylor@fo-rothschild.fr.
authors.forename: G
authors.initials: G
authors.lastname: Taylor
authors.affiliation: Fondation ophtalmologique A.-de Rothschild, 25, rue Manin, 75019 Paris, France.
authors.forename: A
authors.initials: A
authors.lastname: Simmoneau
authors.affiliation: Hôpital Lariboisière, explorations fonctionnelles physiologiques, unité du sommeil, 2, rue Ambroise-Paré, 75010 Paris, France.
authors.forename: V
authors.initials: V
authors.lastname: Viot-Blanc
authors.affiliation: Fondation ophtalmologique A.-de Rothschild, 25, rue Manin, 75019 Paris, France.
authors.forename: J-M
authors.initials: JM
authors.lastname: Devys
mesh_terms: D000328:Adult; D045422:Continuous Positive Airway Pressure / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019635:Neurosurgical Procedures / Q000009:adverse effects*; D063087:Noninvasive Ventilation / Q000009:adverse effects*; D011007:Pneumocephalus / Q000209:etiology*; D011182:Postoperative Care; D011183:Postoperative Complications / Q000628:therapy*; D012131:Respiratory Insufficiency / Q000209:etiology / Q000628:therapy; D020181:Sleep Apnea, Obstructive / Q000209:etiology / Q000628:therapy; D013100:Sphenoid Bone / Q000601:surgery*
keywords: Adénome hypophysaire; Chirurgie trans-sphénoïdale; Complication; Mask ventilation; Noninvasive positive pressure ventilation; Pituitary adenoma; Pneumencephalus; Pneumencéphalie; Transsphenoidal surgery; Ventilation au masque; Ventilation non invasive