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Vol. 25. Num. 2.March - April 2014
Pages 49-98
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Vol. 25. Num. 2.March - April 2014
Pages 49-98
Case report
DOI: 10.1016/j.neucir.2013.05.001
Delayed spontaneous pneumocephalus in ventriculoperitoneal shunting: Two case reports and literature review
Neumoencéfalo espontáneo tardío posterior a la colocación de válvula ventriculoperitoneal: 2 casos clínicos y revisión de la literatura
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Edinson Najera Aguilar??
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, Maria Castle Ramirez, Alicia Bollar Zabala, Enrique Urculo Bareño
Servicio de Neurocirugía, Hospital Universitario Donostia, San Sebastián, Guipúzcoa, Spain
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Abstract

Spontaneous pneumocephalus following cerebrospinal fluid shunt is a rare complication. In most cases, the air enters in the intracranial cavity via a skull base defect. We report 2 cases of delayed tension pneumocephalus, secondary to ventriculoperitoneal shunt, and review the etiopathogenesis, prevention and treatment of this condition.

Keywords:
Tension pneumocephalus
Delayed pneumocephalus
Ventriculoperitoneal shunt
Resumen

El neumoencéfalo a tensión es una rara complicación después de la colocación de sistemas de derivación de líquido cefalorraquídeo. En la mayoría de casos la etiopatogenia está relacionada con un defecto de la base del cráneo. Presentamos 2 casos de neumoencéfalo tardío a tensión después de la colocación de derivación ventriculoperitoneal y revisamos la literatura, analizando los mecanismos de etiopatogenia, así como las posibles formas de prevención y tratamiento.

Palabras clave:
Neumoencéfalo a tensión
Neumoencéfalo tardío
Derivación ventriculoperitoneal

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