Ram Z, Knoller N, Findler G, Sahar A
Department of Neurosurgery, Chaim Sheba Medical Center, Tel-Hashomer, Israel.
Childs Nerv Syst. 1992 Sep;8(6):351-3. doi: 10.1007/BF00296568.
A child is described in whom intraventricular tension pneumocephalus developed 10 days after removal of a cerebellar medulloblastoma and 1 day after suture removal. The tension pneumocephalus was associated with hydrocephalus and CSF leakage from the suture line. The symptoms of the pneumocephalus were rapidly progressing loss of consciousness and hemiplegia which were promptly reversed upon aspiration of the intracranial air. A large amount of intraventricular air present in the immediate postoperative period was, however, clinically silent. The characteristics of this unusual presentation, its relation to asymptomatic pneumocephalus, hydrocephalus and the preventive and therapeutic measures required to deal with such conditions are discussed.
本文描述了一名儿童，其在小脑髓母细胞瘤切除术后10天、拆线后1天发生了脑室内张力性气颅。张力性气颅与脑积水及缝线处脑脊液漏有关。气颅的症状为意识快速丧失和偏瘫，经抽吸颅内气体后症状迅速缓解。然而，术后即刻存在的大量脑室内气体在临床上却未引起症状。文中讨论了这种不寻常表现的特点、其与无症状气颅、脑积水的关系以及处理此类情况所需的预防和治疗措施。
