title: Tension Pneumocephalus Following Orbital Exenteration.
abstract: Pneumocephalus is a known complication of skull base surgery, but is rarely seen by orbital surgeons. We report a case of postoperative mental status changes after exenteration due to tension pneumocephalus. After surgical and medical management, the patient's pneumocephalus resolved and she recovered fully. Risk factors for tension pneumocephalus, mechanism, clinical presentation, and management techniques are discussed.
authors.affiliation: *Wills Eye Hospital; †Department of Neurosurgery, Thomas Jefferson University Hospital; ‡Department of Otolaryngology Head Neck Surgery, Thomas Jefferson University Hospital; and §Skull Base Division, Neuro-Ophthalmology Service, Wills Eye Hospital, Philadelphia, Pennsylvania, U.S.A.
authors.forename: Wen-Shi
authors.initials: WS
authors.lastname: Shieh
authors.forename: Christopher
authors.initials: C
authors.lastname: Farrell
authors.forename: Joseph
authors.initials: J
authors.lastname: Curry
authors.forename: Ann P
authors.initials: AP
authors.lastname: Murchison
authors.forename: Jurij R
authors.initials: JR
authors.lastname: Bilyk
mesh_terms: D000369:Aged, 80 and over; D002280:Basal Cell Carcinoma / Q000556:secondary / Q000601:surgery*; D005260:Female; D006801:Humans; D009364:Neoplasm Recurrence, Local / Q000601:surgery*; D017233:Orbit Evisceration / Q000009:adverse effects*; D009918:Orbital Neoplasms / Q000556:secondary / Q000601:surgery*; D011007:Pneumocephalus / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D012878:Skin Neoplasms / Q000473:pathology*; D014057:Tomography, X-Ray Computed