南方科技大学知识苑(SUSTech KC): Delayed pneumocephalus induced by repeated percutaneous aspiration after spinal surgery A case report and literature review

题名	Delayed pneumocephalus induced by repeated percutaneous aspiration after spinal surgery A case report and literature review
作者	Zhao, Yu1,2 ; Cao, Liming 3,4; Sheng, Qi 1,2; Liu, Ruifang 1,2; Dong, Gaolei 1,2; Tong, Xibao 5
通讯作者	Cao, Liming
发表日期	2021-06-11
DOI	10.1097/MD.0000000000026322
发表期刊	MEDICINE 影响因子和分区
ISSN	0025-7974
EISSN	1536-5964
卷号	100 期号:23
摘要	Rationale: Severe tension pneumocephalus can lead to drowsiness, coma, and even brain hernia and death. The occurrence of delayed pneumocephalus after spinal surgery is rarely reported and often ignored. Herein, we report a case of delayed pneumocephalus after repeated percutaneous aspiration following spinal surgery. Patient concerns: A 55-year-old man was admitted in October 2020 because of aggravation in bilateral lower limb weakness and dysuria for seven days. He was diagnosed with liver cancer a year ago, and he underwent several operations because of tumor recurrence. The patient underwent thoracic vertebrae tumor excision on this admission, and no cerebrospinal fluid leakage was discovered during surgery. After the third drainage by percutaneous aspiration, the patient complained of severe headache and vomiting on postoperative day 16. Diagnosis: Emergency brain computed tomography revealed massive pneumocephalus. Interventions: Thereafter, suction drainage was discontinued, and he was placed on bed rest and administered intravenous mannitol. Outcomes: Repeated computed tomography showed complete resolution of the pneumocephalus after five days. Lessons: Wound exudates and cystic fluid after spinal surgery should be differentiated from cerebrospinal fluid leakage. Reckless percutaneous aspirations can form pneumocephalus in patients with an occult dural injury, and pneumocephalus can occur up to 16 days after surgery. Early diagnosis of pneumocephalus is crucial to avoid severe consequences.
关键词	case report delayed pneumocephalus percutaneous aspiration severe headache spine surgery
相关链接	[来源记录]
收录类别	SCI
语种	英语
学校署名	第一
资助项目	Medical Scientific Research Project of Guangxi Zhuang Nationality Autonomous Region[20201710]
WOS研究方向	General & Internal Medicine
WOS类目	Medicine, General & Internal
WOS记录号	WOS:000661625000069
出版者	LIPPINCOTT WILLIAMS & WILKINS
ESI学科分类	CLINICAL MEDICINE
来源库	Web of Science
引用统计	被引频次[WOS]：1
成果类型	期刊论文
条目标识符	http://sustech.caswiz.com/handle/2SGJ60CL/230091
专题	南方科技大学第二附属医院南方科技大学第一附属医院
作者单位	1.Southern Univ Sci & Technol, Shenzhen Peoples Hosp 3, Dept Neurol, Shenzhen, Peoples R China 2.Southern Univ Sci & Technol, Dept Neurol, Affiliated Hosp 2, Shenzhen, Peoples R China 3.Shenzhen Univ, Dept Neurol, Affiliated Hosp 1, 3002 Sungang West Rd, Shenzhen 518000, Peoples R China 4.Shenzhen Univ, Dept Neurol, Affiliated Hosp 3, Shenzhen, Peoples R China 5.Peoples Hosp Xilin Cty, Dept Internal Med, Baise, Peoples R China
第一作者单位	南方科技大学第二附属医院; 南方科技大学第一附属医院
第一作者的第一单位	南方科技大学第二附属医院; 南方科技大学第一附属医院
推荐引用方式 GB/T 7714	Zhao, Yu,Cao, Liming,Sheng, Qi,et al. Delayed pneumocephalus induced by repeated percutaneous aspiration after spinal surgery A case report and literature review[J]. MEDICINE,2021,100(23).
APA	Zhao, Yu,Cao, Liming,Sheng, Qi,Liu, Ruifang,Dong, Gaolei,&Tong, Xibao.(2021).Delayed pneumocephalus induced by repeated percutaneous aspiration after spinal surgery A case report and literature review.MEDICINE,100(23).
MLA	Zhao, Yu,et al."Delayed pneumocephalus induced by repeated percutaneous aspiration after spinal surgery A case report and literature review".MEDICINE 100.23(2021).