Pneumocephalus after spinal surgery

Case contributed by Dr Bruno Di Muzio

Presentation

Headaches. On the third postoperative day after lumbar spinal fusion surgery.

Patient Data

Age: 46-year-old
Gender: Male
CT

CT Brain

Appearance and density of the brain parenchyma are normal. Ventricular system and cisternal spaces appear normal. No evidence of intracranial space occupying lesion is detected. There is no shift of the midline structures. Two small extra-axial pneumocephalus bubbles are present adjacent to the right frontal lobe. The visualized orbits, paranasal sinuses and calvarium appear unremarkable.

Case Discussion

It is hard to correlate a headache unequivocally to those tiny pneumocephalus bubbles. This case is important to underline that this condition can be found after not only cranial surgeries but also after spinal manipulations such as lumbar puncture or surgery. 

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Case information

rID: 41383
Case created: 29th Nov 2015
Last edited: 29th Dec 2015
Inclusion in quiz mode: Included

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