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A Case Report on Pneumocephalus That Occurred Following an Epidural Ozone Injection During Percutaneous Lumbar Disc
Karim Hemati1, Parnian Hemati2, Saeid Rahimi Ghasabeh1
1Pain Research Center, Department of Anesthesiology and Pain Medicine, Iran University of Medical Sciences, Tehran, Iran.
Pneumocephalus, or air in the brain, is a rare complication after spinal decompression surgery. This case highlights its occurrence following lumbar disc decompression, emphasizing prompt diagnosis and management.
Area of Science:
- Neurosurgery
- Orthopedic Surgery
- Radiology
Background:
- Spinal decompression is a frequent surgical procedure.
- Known complications exist, but pneumocephalus is not commonly recognized.
- This report details a rare instance of postoperative pneumocephalus.
Observation:
- A 54-year-old female developed symptoms hours after percutaneous lumbar disc decompression.
- Symptoms included restlessness, cognitive impairment, nausea, vomiting, and balance issues.
- Oxygen therapy led to vital sign improvement.
Findings:
- Computed tomography (CT) confirmed pneumocephalus post-surgery.
- Radiological symptoms resolved during hospitalization.
- The patient recovered and was discharged in stable condition.
Implications:
- Pneumocephalus can be a rare complication of spinal decompression.
- Urgent cranial and spinal imaging (CT or MRI) and electroencephalogram are crucial for diagnosis.
- Treatment may involve pharmacological or surgical interventions.
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