CC BY-NC-ND 4.0 · Arq Bras Neurocir 2018; 37(03): 275-279
DOI: 10.1055/s-0036-1581996
Case Report | Relato de Caso
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Post-traumatic Tension Pneumoventricle: Case Report

Article in several languages: English | português
Ricardo Macedo Camelo
1  Department of Neurosurgery, Medical Residency Program, Hospital Universitário Professor Alberto Antunes, Maceió, AL, Brazil
,
Josias Inácio da Silva
1  Department of Neurosurgery, Medical Residency Program, Hospital Universitário Professor Alberto Antunes, Maceió, AL, Brazil
,
Rafael Costa Camelo
1  Department of Neurosurgery, Medical Residency Program, Hospital Universitário Professor Alberto Antunes, Maceió, AL, Brazil
,
Moana Vergetti Malta
2  Department of Neurosurgery, HUPAA, Maceió, AL, Brazil
,
Arnon Castro Alves Filho
2  Department of Neurosurgery, HUPAA, Maceió, AL, Brazil
,
Washington Clésio da Silva Ribeiro
2  Department of Neurosurgery, HUPAA, Maceió, AL, Brazil
,
Adans Soares Porfírio
2  Department of Neurosurgery, HUPAA, Maceió, AL, Brazil
,
Daniel Fonseca Oliveira
2  Department of Neurosurgery, HUPAA, Maceió, AL, Brazil
› Author Affiliations
Further Information

Publication History

29 September 2015

11 January 2016

Publication Date:
14 April 2016 (eFirst)

Abstract

Pneumoventricle and liquoric fistula are possible complications of traumatic brain injury (TBI), the main cause of morbimortality related to trauma in Brazil. Liquoric fistulae are more common after direct trauma with skull base fractures. However, pneumoventricle is rare and occurs due to excessive cerebrospinal fluid (CSF) drainage in the presence of a poorly compliant ventricle system, resulting in the influx of air to its interior. The pathophysiology of tension pneumoventricle remains uncertain. However, the traumatic cause is certain and multiple bone fractures of the face and liquoric fistula may contribute to the process. If symptomatic, the tension pneumoventricle can cause rapid clinical deterioration. The authors aim to report a rare case of post-TBI tension pneumoventricle with complete resolution and without signs of recurrence of the liquoric fistula after surgical treatment.