Journal Information
Vol. 15. Issue 6.
Pages 596-599 (January 2004)
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Vol. 15. Issue 6.
Pages 596-599 (January 2004)
Neumoencéfalo a tensión tras cirugía intracraneal en posición supina
Tensión pneumocephalus after intracraneal surgery in the supine position
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J. Hernández-Palazón
, V. Ñuño de la Rosa-Carrillo
Servicio de Anestesiología y Reanimación. Hospital Universitario Virgen de la Arrixaca. Murcia
J.F. Martínez-Lage*, F. López-Hernández*, M.A. Pérez-Espejo*
* Servicio Regional de Neurocirugía. Hospital Universitario Virgen de la Arrixaca. Murcia
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Resumen

El neumoencéfalo a tensión es una complicación grave, poco frecuente, que aparece tras cirugía de la fosa posterior con pacientes en posición sentada. Esta complicación puede amenazar la vida del paciente y requerir tratamiento inmediato. Sin embargo, el neumoencéfalo a tensión tras cirugía intracraneal en posición supina se ha publicado en raras ocasiones. Presentamos un caso de neumoencéfalo a tensión tras una craneotomía para la exéresis de un proceso expansivo frontotemporal izquierdo realizada en posición supina.

Palabras clave:
Neumoencéfalo a tensión
Astrocitoma pilocítico
Craneotomía supratentorial
Posición supina
Complicaciones cirugía intracraneal
Summary

Tensión pneumocephalus is a rare and severe complication appearing after posterior fossa procedures in the sitting position. This complication may endanger the pacientes life and require immediate treatment. However, tensión pneumocephalus after neurosurgical procedure in the supine position have been scarcely reported. We report such a complication occurring in a 14-year-old girl submitted to a frontotemporal craniotomy for removal of an astrocytome performed with the patient supine. We discuss ethiopathogenesis and management of this complication.

Key words:
Tensión pneumocephalus
Pilocytic astrocytoma
Supratentorial craniotomy
Supine position
Intracranial surgery complications

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