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Titolo:
Pneumocephalus associated with aqueductal stenosis: three-dimensional computed tomographic demonstration of skull-base defects
Autore:
Kuba, H; Matsukado, K; Inamura, T; Morioka, T; Sasaki, M; Fukui, M;
Indirizzi:
Kyushu Univ, Fac Med, Inst Neurol, Dept Neurosurg,Higashi Ku, Fukuoka 8128582, Japan Kyushu Univ Fukuoka Japan 8128582 urg,Higashi Ku, Fukuoka 8128582, Japan Kyushu Univ, Fac Med, Dept Radiol, Fukuoka 812, Japan Kyushu Univ Fukuoka Japan 812 , Fac Med, Dept Radiol, Fukuoka 812, Japan
Titolo Testata:
CHILDS NERVOUS SYSTEM
fascicolo: 1, volume: 16, anno: 2000,
pagine: 1 - 3
SICI:
0256-7040(200001)16:1<1:PAWAST>2.0.ZU;2-E
Fonte:
ISI
Lingua:
ENG
Soggetto:
TENSION PNEUMOCEPHALUS; VENTRICULOPERITONEAL SHUNT; HYDROCEPHALUS; INSERTION;
Keywords:
aqueductal stenosis; pneumocephalus; neuroendoscopic III ventriculostomy programmable shunt system;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
13
Recensione:
Indirizzi per estratti:
Indirizzo: Inamura, T Kyushu Univ, Fac Med, Inst Neurol, Dept Neurosurg,Higashi Ku, 3-1-1 Maidashi, Fukuoka 8128582, Japan Kyushu Univ 3-1-1 Maidashi Fukuoka Japan 8128582 128582, Japan
Citazione:
H. Kuba et al., "Pneumocephalus associated with aqueductal stenosis: three-dimensional computed tomographic demonstration of skull-base defects", CHILD NERV, 16(1), 2000, pp. 1-3

Abstract

Ventriculoperitoneal (VP) shunt placement in patients with aqueductal stenosis has recently been reported as a cause of pneumocephalus. We report on a patient with pneumocephalus associated with aqueductal stenosis treated by VP shunting. A 29-year-old woman who had undergone a shunt operation for aqueductal stenosis 7 years previously sustained a whiplash injury in a minor traffic accident. Computed tomography (CT) revealed massive subdural pneumocephalus, and three-dimensional reconstructions of CT images clearly demonstrated defects in the skull base overlying the ethmoid sinuses. Both endoscopic III ventriculostomy and placement of external ventricular drainage were performed. After temporary external ventricular drainage for 7 days, aVP shunt was placed using a programmable valve system. The patient became free of symptoms and rhinorrhea ceased. Three-dimensionally reconstructed CT images were useful in detecting the extent of the patient's skull base defect. III Ventriculostomy was not effective in this case. Direct closure ofthe skull base by craniotomy was not necessary, and a programmable valve system was effective in preventing recurrence of either pneumocephalus or rhinorrhea.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/05/20 alle ore 13:09:34