Arai Nobuhiko, Tabuse Masanao, Nakamura Akiyoshi, Miyazaki Hiromichi
Department of Neurosurgery, Hiratsuka City Hospital, Hiratsuka City, Japan.
J Craniofac Surg. 2017 May;28(3):738-740. doi: 10.1097/SCS.0000000000003392.
Pneumocephalus without a known underlying cause is defined as spontaneous pneumocephalus. Few patients of intraventricular pneumocephalus have been reported.
An 84-year-old man presented with dysarthria and incontinence. Computed tomography revealed an intraventricular pneumocephalus, thinning in the petrous bone, fluid in the air cells, and cleft in temporal lobe. A right subtemporal extradural approach was taken to detect bone-/-dural defects, and a reconstruction was performed using a musculo-pericranial flap.
This is the first patient of an isolated intraventricular spontaneous pneumocephalus without any other site air involved. Surgical approaches to repair such bone and dura defects should be considered an appropriate option.
无已知潜在病因的气颅被定义为自发性气颅。关于脑室积气的患者报道较少。
一名84岁男性出现构音障碍和失禁。计算机断层扫描显示脑室积气、岩骨变薄、气房积液和颞叶裂。采用右侧颞下硬膜外入路检测骨/硬膜缺损，并使用肌骨膜瓣进行重建。
这是首例孤立性脑室内自发性气颅且无其他部位积气的患者。修复此类骨和硬膜缺损的手术方法应被视为一种合适的选择。
