Late hypertensive intraventricular pneumocephalus after a ventriculo-peritoneal shunting procedure: a case report

  • Carlos Casallo-Quiliano Hospital Militar Central
Keywords: Hydrocephalus, ventriculoperitoneal shunt, pneumocephalus

Abstract

A 45-year-old male with neurocysticercosis complicated by hydrocephalus underwent a ventriculo-peritoneal shunt procedure because of secondary hydrocephalus. Four months afterwards he developed an intraventricular pneumocephalus and a porencephalic cyst in the right temporal lobe. Neuroradiology imaging studies did not show any bone defect in the base of the cranium, but a brain CT scan showed a porencephalic cyst located next to the right tympanic segment. An external ventricular shunt was placed and the former ventriculoperitoneal shunt was taken out, and neurological signs and symptoms improved. Afterwards, a right mastoidectomy and excision of the external shunt were performed. Control CT scans showed a progressive reduction in the intraventricular air contents. The patient was discharged with no symptoms affecting him. Two months later, pneumocephalus disappeared.

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Published
2012-09-30
How to Cite
1.
Casallo-Quiliano C. Late hypertensive intraventricular pneumocephalus after a ventriculo-peritoneal shunting procedure: a case report. Acta Med Peru [Internet]. 2012Sep.30 [cited 2024Mar.28];29(3):161-2. Available from: http://www.amp.cmp.org.pe/index.php/AMP/article/view/1207
Section
CASE REPORTS