Krischek Boris, Vescan Allan, Zweifel Christian, Zadeh Gelareh, Gentili Fred
Division of Neurosurgery, Toronto Western Hospital, University of Toronto, Toronto, Ontario, Canada.
Department of Otolaryngology-Head and Neck Surgery, University of Toronto, Toronto, Ontario, Canada.
J Neurol Surg A Cent Eur Neurosurg. 2013 Dec;74 Suppl 1:e271-4. doi: 10.1055/s-0033-1349337. Epub 2013 Oct 24.
Tension pneumocephalus is a rare complication that can occur after craniofacial resection of lesions of the anterior skull base. Early diagnosis is important to avoid potential serious neurologic deficits, including death. It has been associated with the perioperative placement of a lumbar drainage and with esthesioneuroblastoma. Therapy consists of evacuation of the intracranial air as well as conservative measures. Here we report a case of a patient with an ethmoidal esthesioneuroblastoma who underwent a traditional microsurgical craniofacial resection and developed a delayed epidural tension pneumocephalus. This was treated by performing an incision in the pericranial flap covering the anterior cranial base defect using an endonasal endoscopic approach. To our knowledge, this particular treatment technique has not been reported before in this context.
张力性气颅是一种罕见的并发症，可发生在前颅底病变的颅面切除术后。早期诊断对于避免潜在的严重神经功能缺损（包括死亡）很重要。它与围手术期放置腰大池引流以及嗅神经母细胞瘤有关。治疗包括排出颅内气体以及采取保守措施。我们在此报告一例患有筛窦嗅神经母细胞瘤的患者，该患者接受了传统的显微外科颅面切除术，并发生了延迟性硬膜外张力性气颅。通过使用鼻内镜方法在覆盖前颅底缺损的颅骨膜瓣上做切口进行治疗。据我们所知，这种特殊的治疗技术在此情况下之前尚未有报道。
