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Neumoencéfalo y convulsiones postcraneoplastia: un reporte de caso

Tiago de Almeida Macruz¹, Gisele J Wakim², Livia Dahmen Rodrigues¹

¹Department of Anesthesiology, University of Miami, Miami, USA.

|February 23, 2026

Resumen

El neumoencéfalo, o aire intracraneal, es una complicación de la craneoplastia. El reconocimiento y manejo tempranos son cruciales para los resultados del paciente después de un traumatismo craneoencefálico y cirugía.

Área de la Ciencia:

Neurocirugía
Anestesiología
Radiología

Sus antecedentes:

El neumoencéfalo implica aire en el espacio intracraneal, con tipos simples y de tensión.
Puede derivar de infecciones o procedimientos quirúrgicos como la craneoplastia.
La craneoplastia es un procedimiento quirúrgico para reparar defectos del cráneo.

Objetivo del estudio:

Reportar un caso de neumoencéfalo simple después de la craneoplastia.
Destacar la importancia del monitoreo continuo del paciente después de la cirugía.

Principales métodos:

Reporte de caso de un paciente varón de 28 años.
El paciente se sometió a una craneoplastia después de una herida de bala.
Se realizaron monitoreo postoperatorio y estudios de imagen.

Principales resultados:

El paciente experimentó un despertar retardado y una convulsión después de la craneoplastia.
Las imágenes confirmaron un neumoencéfalo simple.
El paciente requirió reintubación y cuidados intensivos.

Conclusiones:

El neumoencéfalo es una complicación potencial de la craneoplastia.
El monitoreo clínico continuo durante las fases perioperatoria y de recuperación es vital.
La identificación y el manejo tempranos del neumoencéfalo pueden mejorar los resultados del paciente.

Palabras clave:

período de recuperación de la anestesia lesiones cerebrales craneoplastia neumoencéfalo convulsión traumático

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