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Updated: Jun 23, 2025

Intracranial Pressure Monitoring In Nontraumatic Intraventricular Hemorrhage Rodent Model
Published on: February 8, 2022
Spontaneous Intraventricular Tension Pneumocephalus
Grigorios Gkasdaris1, Emmanuel Jouanneau1, Timothée Jacquesson1
1Skull Base and Pituitary Neurosurgical Department, Hôpital Neurologique Pierre Wertheimer, Claude Bernard University, Lyon, France.
A rare case of spontaneous intraventricular tension pneumocephalus was found in a patient with a history of pineal region tumors and hydrocephalus. This condition, characterized by air in the brain ventricles, was successfully treated with surgical repair of an underlying skull base defect.
Area of Science:
- Neurosurgery
- Neuroradiology
- Neurology
Background:
- A 40-year-old male with a history of pineal region tumor and hydrocephalus requiring multiple ventriculoperitoneal shunts presented with new neurological symptoms.
- Symptoms included headaches, nausea, visual loss, and mild rhinorrhea, prompting urgent neuroimaging.
Observation:
- Initial brain computed tomography (CT) revealed spontaneous intraventricular tension pneumocephalus.
- No history of head trauma or shunt malfunction was noted.
- Further evaluation with thin-slice bone CT and radioisotope cisternography identified an osseous defect at the tegmen tympani-squamous temporal bone junction with cerebrospinal fluid leakage.
Findings:
- Spontaneous intraventricular tension pneumocephalus, a rare condition, was diagnosed.
- The underlying cause was identified as a defect in the skull base.
- Cerebrospinal fluid (CSF) leakage was confirmed through radioisotope cisternography.
Implications:
- This case highlights the importance of investigating rare causes of pneumocephalus, especially in patients with complex neurosurgical histories.
- Surgical repair of the osteo-meningeal breach is crucial for managing spontaneous pneumocephalus secondary to skull base defects.
- Early diagnosis and intervention can prevent serious neurological complications associated with tension pneumocephalus.
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