Acta Neurochirurgica

, Volume 160, Issue 7, pp 1401–1405 | Cite as

Hyperbaric oxygen therapy of air embolus in the cerebral venous sinuses after intracranial surgery: a case report

  • Mina Lundborg
  • Eirik Helseth
  • Roger Josefsen
  • Martin Braathen
  • Karoline Skogen
  • Jon Ramm-PettersenEmail author
Case Report - Vascular Neurosurgery - Other


A case with cerebral venous air embolism (CVAE) after neurosurgery and treated with hyperbaric oxygen therapy (HBOT) is presented. This is a rare and potentially fatal complication that neurosurgeons should be aware of. A 52-year-old male was diagnosed with an intracerebral hematoma. An emergency evacuation of the hematoma was performed with a craniotomy and the postoperative CT scan showed a complete evacuation of the hematoma, but it also revealed a CVAE. The patient was immediately referred to HBOT and received three sessions within 48 h. The CT scan after the first HBOT showed no CVAE, venous thrombosis, or new hematoma.


Central venous air embolism Hyperbaric oxygen treatment Intracerebral hematoma Intracranial surgery 


Compliance with ethical standards

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. We have obtained informed written consent from the patient for publication of this case report.

Conflict of interest

The authors declare that they have no conflict of interest.


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Copyright information

© Springer-Verlag GmbH Austria, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of NeurosurgeryOslo University HospitalOsloNorway
  2. 2.Faculty of MedicineUniversity of OsloOsloNorway
  3. 3.Department of Hyperbaric MedicineOslo University HospitalOsloNorway
  4. 4.Department of RadiologyOslo University HospitalOsloNorway

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