Pnömosefalili Olguda Anestezi Yönetimi
Özet
Pnömosefali kraniyum içinde hava bulunmasıdır (1). Baş ağrısı, baş dönmesi, bulantı ve kusma, nöbet, nörolojik depresyon gibi semptomlar görülebilir (2). Pnömosefalinin en yaygın nedeni kafa travmasıdır (3). Bu olgu sunumunda ayak bileğindeki bimalleolar fraktür sebebiyle opere edilecek pnömosefalili hastada anestezi yönetimi sunulmaktadır.
Pneumocephalus is the presence of air in the cranium (1). Headache, dizziness, nausea and vomiting, seizures, and neurologic depression are among possible symptoms (2). Head trauma is the most frequent cause of pneumocephalus (3). This case report presents the anesthetic management of a patient with pneumocephalus who was scheduled to undergo surgery for a bimalleolar fracture of the ankle.
Referanslar
Schirmer CM, Heilman CB, Bhardwaj A. Pneumocephalus: case illustrations and review. Neurocrit Care. 2010;13(1):152–158. doi:10.1007/s12028-010-9363-0.
Civelek E, Ozcan A, Aydın S et al. Complicated pneumpcephalus after epidural anesthesia: a case report. Gulhane Med J. 55(1), 132. doi:10.5455/gulhane.39837.
Solomiichuk V, Lebed V, Drizhdov K. Posttraumatic delayed subdural tension pneumocephalus. Surg Neurol Int. 2013; 4(1):37. doi:10.4103/2152-7806.109537.
Davis DH, Laws ER, McDonald TJ et al. Intraventricular tension pneumocephalus as a complication of paranasal sinus surgery: case report. Neurosurgery. 1981;8(5):574–576.
Wang A, Solli E, Carberry N et al. Delayed Tension Pneumocephalus following Gunshot Wound to the Head: A Case Report and Review of the Literature. Case Rep Surg. 2016; 2016: 7534571. doi:10.1155/2016/7534571.
Wankhade BS, Beniamein MMK, Alrais ZF et al. What should an intensivist know about pneumocephalus and tension pneumocephalus? Acute and critical care. 2023;38(2):244-248. doi:10.4266/acc.2021.01102.
Dabdoub C, Salas G, Silveira E et al. Review of the management of pneumocephalus. Surg Neurol Int. 2015; 6:155. doi:10.4103/2152-7806.166195.
Nicholson B DH. Traumatic tension pneumocephalus after blunt head trauma and positive pressure ventilation. Prehosp Emerg Care. 2010;14(4):499-504. doi:10.3109/10903120903564522.
Edwards ND, Alford AM, Dobson PMS et al. Myocardial ischaemia during tracheal intubation and extubation. Br J Anaesth. 1994;73(4):537-539. doi:10.1093/bja/73.4.537.
Vilca M, Palacios CR, Rosas S et al. Case report pneumocephalus and csf leak secondary to skull base fracture by pyrotechnical object: case report. Peru J Neurosurg. 2021;3(3):139–43. https://doi.org/10.53668/2021.PJNS33175.
Gurajala I, Azharuddin M, Gopinath R. General anaesthesia with laryngeal mask airway may cause recurrence of pneumocephalus in a patient with head injury. Br J Anaesth. 2013;111(4):675-676. doi:10.1093/bja/aet316.
Clement AR, Palaniappan D, Panigrahi RK. Tension Pneumocephalus. Anesthesiology. 2017;127(4):710. doi:10.1097/ALN.0000000000001703
Ahmad M, Bellamy S, Ott W et al. Pneumocephalus secondary to epidural analgesia: a case report. J Med Case Rep. 2023;17(1):217. doi:10.1186/s13256-023-03955-5.
Leffert LR, Schwamm LH. Neuraxial anesthesia in parturients with intracranial pathology: a comprehensive review and reassessment of risk. Anesthesiology. 2014;120(4):1061. doi:10.1097/ALN.0b013e31829374c2.
Das JM, Bajaj J. Pneumocephalus. [Updated 2024 Jan 30]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK535412/
Porchet F, Bruder N, Boulard G et al. Effet de la position sur la pression intracranienne. Ann Fr Anesth Reanim. 1998;17(2):149-156. doi:10.1016/s0750-7658(98)80065-8.
Roth C, Ferbert A, Deinsberger W et al. Does prone positioning increase intracranial pressure? A retrospective analysis of patients with acute brain injury and acute respiratory failure. Neurocrit Care. 2014;21(2):186-191. doi:10.1007/s12028-014-0004-x.
Bhandari S, Baral MR, Yu M. Iatrogenic Pneumocephalus Resolved by Oxygen Therapy. Cureus. 2021;13(11):e19830. doi:10.7759/cureus.19830.
Referanslar
Schirmer CM, Heilman CB, Bhardwaj A. Pneumocephalus: case illustrations and review. Neurocrit Care. 2010;13(1):152–158. doi:10.1007/s12028-010-9363-0.
Civelek E, Ozcan A, Aydın S et al. Complicated pneumpcephalus after epidural anesthesia: a case report. Gulhane Med J. 55(1), 132. doi:10.5455/gulhane.39837.
Solomiichuk V, Lebed V, Drizhdov K. Posttraumatic delayed subdural tension pneumocephalus. Surg Neurol Int. 2013; 4(1):37. doi:10.4103/2152-7806.109537.
Davis DH, Laws ER, McDonald TJ et al. Intraventricular tension pneumocephalus as a complication of paranasal sinus surgery: case report. Neurosurgery. 1981;8(5):574–576.
Wang A, Solli E, Carberry N et al. Delayed Tension Pneumocephalus following Gunshot Wound to the Head: A Case Report and Review of the Literature. Case Rep Surg. 2016; 2016: 7534571. doi:10.1155/2016/7534571.
Wankhade BS, Beniamein MMK, Alrais ZF et al. What should an intensivist know about pneumocephalus and tension pneumocephalus? Acute and critical care. 2023;38(2):244-248. doi:10.4266/acc.2021.01102.
Dabdoub C, Salas G, Silveira E et al. Review of the management of pneumocephalus. Surg Neurol Int. 2015; 6:155. doi:10.4103/2152-7806.166195.
Nicholson B DH. Traumatic tension pneumocephalus after blunt head trauma and positive pressure ventilation. Prehosp Emerg Care. 2010;14(4):499-504. doi:10.3109/10903120903564522.
Edwards ND, Alford AM, Dobson PMS et al. Myocardial ischaemia during tracheal intubation and extubation. Br J Anaesth. 1994;73(4):537-539. doi:10.1093/bja/73.4.537.
Vilca M, Palacios CR, Rosas S et al. Case report pneumocephalus and csf leak secondary to skull base fracture by pyrotechnical object: case report. Peru J Neurosurg. 2021;3(3):139–43. https://doi.org/10.53668/2021.PJNS33175.
Gurajala I, Azharuddin M, Gopinath R. General anaesthesia with laryngeal mask airway may cause recurrence of pneumocephalus in a patient with head injury. Br J Anaesth. 2013;111(4):675-676. doi:10.1093/bja/aet316.
Clement AR, Palaniappan D, Panigrahi RK. Tension Pneumocephalus. Anesthesiology. 2017;127(4):710. doi:10.1097/ALN.0000000000001703
Ahmad M, Bellamy S, Ott W et al. Pneumocephalus secondary to epidural analgesia: a case report. J Med Case Rep. 2023;17(1):217. doi:10.1186/s13256-023-03955-5.
Leffert LR, Schwamm LH. Neuraxial anesthesia in parturients with intracranial pathology: a comprehensive review and reassessment of risk. Anesthesiology. 2014;120(4):1061. doi:10.1097/ALN.0b013e31829374c2.
Das JM, Bajaj J. Pneumocephalus. [Updated 2024 Jan 30]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK535412/
Porchet F, Bruder N, Boulard G et al. Effet de la position sur la pression intracranienne. Ann Fr Anesth Reanim. 1998;17(2):149-156. doi:10.1016/s0750-7658(98)80065-8.
Roth C, Ferbert A, Deinsberger W et al. Does prone positioning increase intracranial pressure? A retrospective analysis of patients with acute brain injury and acute respiratory failure. Neurocrit Care. 2014;21(2):186-191. doi:10.1007/s12028-014-0004-x.
Bhandari S, Baral MR, Yu M. Iatrogenic Pneumocephalus Resolved by Oxygen Therapy. Cureus. 2021;13(11):e19830. doi:10.7759/cureus.19830.
