SUBDURAL TENSION PNEUMOCEPHALUS - REPORT OF 2 CASES
SUBDURAL TENSION PNEUMOCEPHALUS - REPORT OF 2 CASES
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DOI：
10.3171/jns.1979.50.4.0525
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发表时间：
1979-01-01
影响因子：
4.1
通讯作者：
ALBIN, MS
中科院分区：
文献类型：
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作者：
LUNSFORD, LD;MAROON, JC;ALBIN, MS
两名患者在坐位接受后颅窝手术后发生硬膜下张力性气颅。空气进入颅内室的机制类似于空气进入倒置的汽水瓶。当液体流出时，气泡到达容器的顶部。这被称为倒瓶综合征。计算机断层扫描提供了及时的诊断和确认脑移位。两名患者的扭转钻抽吸空气均得到改善，但1名患者随后死于小脑内出血。张力性气颅似乎是坐位后颅窝手术的另一个潜在并发症。这种情况很容易诊断和治疗，当患者在后颅窝手术后未能按预期恢复时，应考虑这种情况。
Two patients developed subdural tension pneumocephalus after undergoing posterior fossa surgery performed in the sitting position. The mechanism for entry of air into the intracranial compartment is analogous to the entry of air into an inverted soda-pop bottle. As the fluid pours out, air bubbles come to the top of the container. This was referred to as the inverted pop-bottle syndrome. Computerized tomography provided prompt diagnosis and confirmed brain displacement. Twist-drill aspiration of the air resulted in improvement in both patients, although 1 patient subsequently died from an intracerebellar hemorrhage. Tension pneumocephalus appears to be another potential complication of posterior fossa surgery in the sitting position. This condition is easily diagnosed and treated, and should be considered whenever a patient fails to recover as expected following posterior fossa surgery.