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Therapeutics and Clinical Risk Management Volume 16, 2020 - Issue
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Case Series

Tension Pneumocephalus from Endoscopic Endonasal Surgery: A Case Series and Literature Review

Wanpeng LiDepartment of Otolaryngology-Head and Neck Surgery, Affiliated Eye Ear Nose and Throat Hospital, Fudan University, Shanghai200031, People’s Republic of ChinaView further author information
,
Quan LiuDepartment of Otolaryngology-Head and Neck Surgery, Affiliated Eye Ear Nose and Throat Hospital, Fudan University, Shanghai200031, People’s Republic of ChinaView further author information
,
Hanyu LuDepartment of Otolaryngology-Head and Neck Surgery, Affiliated Eye Ear Nose and Throat Hospital, Fudan University, Shanghai200031, People’s Republic of ChinaView further author information
,
Huan WangDepartment of Otolaryngology-Head and Neck Surgery, Affiliated Eye Ear Nose and Throat Hospital, Fudan University, Shanghai200031, People’s Republic of ChinaView further author information
,
Huankang ZhangDepartment of Otolaryngology-Head and Neck Surgery, Affiliated Eye Ear Nose and Throat Hospital, Fudan University, Shanghai200031, People’s Republic of ChinaView further author information
,
Li HuDepartment of Otolaryngology-Head and Neck Surgery, Affiliated Eye Ear Nose and Throat Hospital, Fudan University, Shanghai200031, People’s Republic of ChinaView further author information
,
Xicai SunDepartment of Otolaryngology-Head and Neck Surgery, Affiliated Eye Ear Nose and Throat Hospital, Fudan University, Shanghai200031, People’s Republic of ChinaORCID Iconhttps://orcid.org/0000-0003-1423-0942View further author information
ORCID Icon,
Yurong GuDepartment of Otolaryngology-Head and Neck Surgery, Affiliated Eye Ear Nose and Throat Hospital, Fudan University, Shanghai200031, People’s Republic of ChinaView further author information
,
Houyong LiDepartment of Otolaryngology-Head and Neck Surgery, Affiliated Eye Ear Nose and Throat Hospital, Fudan University, Shanghai200031, People’s Republic of ChinaView further author information
,
Weidong ZhaoDepartment of Otolaryngology-Head and Neck Surgery, Affiliated Eye Ear Nose and Throat Hospital, Fudan University, Shanghai200031, People’s Republic of ChinaCorrespondence[email protected] [email protected]
ORCID Iconhttps://orcid.org/0000-0001-8135-7279View further author information
ORCID Icon &
Dehui WangDepartment of Otolaryngology-Head and Neck Surgery, Affiliated Eye Ear Nose and Throat Hospital, Fudan University, Shanghai200031, People’s Republic of ChinaORCID Iconhttps://orcid.org/0000-0003-0346-3193View further author information
ORCID Icon show all
Pages 531-538 | Published online: 19 Jun 2020

Figures & data

Figure 1 Computed tomography revealing intracranial pneumocephalus, evident at the top of the forehead, and compression of the bilateral frontal lobes.

Figure 1 Computed tomography revealing intracranial pneumocephalus, evident at the top of the forehead, and compression of the bilateral frontal lobes.

Figure 2 Magnetic resonance imaging revealing pneumocephalus in the bilateral ventricles, with slight enlargement of the anterior horn of the lateral ventricles.

Figure 2 Magnetic resonance imaging revealing pneumocephalus in the bilateral ventricles, with slight enlargement of the anterior horn of the lateral ventricles.

Figure 3 Magnetic resonance imaging revealing a significant decrease in bilateral ventricular pneumocephalus.

Figure 3 Magnetic resonance imaging revealing a significant decrease in bilateral ventricular pneumocephalus.

Figure 4 Computed tomography revealing obvious pneumocephalus in the intracranial lobe, with compression of the brain tissue, and marked enlargement of the ventricles and fissures.

Figure 4 Computed tomography revealing obvious pneumocephalus in the intracranial lobe, with compression of the brain tissue, and marked enlargement of the ventricles and fissures.

Figure 5 Computed tomography revealing a large area of pneumocephalus in the bilateral anterior cranial fossa. The frontal retention of air caused widening of the interhemispheric fissure, leading to a peaked appearance of the frontal poles, commonly referred to as “Mount Fuji sign”.

Figure 5 Computed tomography revealing a large area of pneumocephalus in the bilateral anterior cranial fossa. The frontal retention of air caused widening of the interhemispheric fissure, leading to a peaked appearance of the frontal poles, commonly referred to as “Mount Fuji sign”.

Table 1 Summary of All Reported Cases of TP Caused by Endoscopic Endonasal Surgery

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