Acta Neurochirurgica

, Volume 137, Issue 1–2, pp 58–61 | Cite as

Tension pneumocephalus after transsphenoidal surgery: Two case reports

  • N. Yüceer
  • K. Çakíroğlu
  • A. Erdoğan
  • H. Z. Gökalp
  • C. Bağdatoğlu
Clinical Articles


In this paper, a brief information on factors taking role in intracranial air formation and tension pneumocephalus because of two cases epidural air formation and tension pneumocephalus following transsphenoidal operation is presented. Two cases were treated conservatively.


Pituitary adenoma transsphenoidal surgery tension pneumocephalus rhinorrhea 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Altinörs N, Arda N, Kars Z,et al (1988) Tension pneumocephalus after transsphenoidal surgery: case report. Neurosurgery 23 (4): 516–518Google Scholar
  2. 2.
    Baskin DS, Boggan JE, Wilson JB (1982) Transsphenoidal microsurgical removal of growth hormone-secreting pituitary adenomas. J Neurosurg 56: 634–641Google Scholar
  3. 3.
    Candrina R, Galli G, Rossi M,et al (1989) Tension pneumocephalus after transsphenoidal surgery for acromegaly. J Neurosurg Sci 33 (4): 311–315Google Scholar
  4. 4.
    Caron JL, Worthington C, Bertrand G (1985) Tension pneumocephalus after evacuation of chronic subdural hematoma and subsequent treatment with continuous lumbar subarachnoid infision and craniostom drainage. Neurosurgery 16: 107–110Google Scholar
  5. 5.
    de Divitis E, Spaziante R, Stella L (1987) Empty sella and benign intrasellar cysts. In: Krayenbühl H (ed) Advances and technical standards in neurosurgery, vol 8. Springer, Wien New York, 3–74Google Scholar
  6. 6.
    Dolinskas CA, Simena FA (1985) Transsphenoidal hypophysectomy: postsurgical CT findings. AJR 144: 487–492Google Scholar
  7. 7.
    Hardy J (1971) Transsphenoidal hypophysectomy. J Neurosurg 34: 582–594Google Scholar
  8. 8.
    Hubbard JL, McDonald TJ, Pearson BW, Laws ER (1985) Spontaneous cerebrospinal fluid rhinorrhea: evolving concepts in diagnosis and surgical management based on the Mayo Clinic experience from 1970 through 1981. Neurosurgery 16: 314–321Google Scholar
  9. 9.
    Ishiwata Y, Fuhjitsi K, Sekino T, Fujino H, Kubokuro T, Tsubone K, Kuwabara T (1988) Subdural tension pneumocephalus following surgery for chronic subdural hematoma. J Neurosurg 68: 58–61Google Scholar
  10. 10.
    Kishan A, Naidu MRC, Murarildhar K (1990) Tension pneumocephalus following posterior fossa surgery in sitting position: a report of 2 cases. Clin Neurol Neurosurg 92 (3): 245–248Google Scholar
  11. 11.
    Lavano A, Benvenuti D, Volpentento G,et al (1990) Symptomatic tension pneumocephalus after evacuation of chronic subdural hematoma: report of seven cases. Clin Neurol Neurosurg 92 (1): 35–41Google Scholar
  12. 12.
    Laws ER (1980) Transsphenoidal microsurgery in the treatment of chraniopharyngioma. J Neurosurg 52: 661–666Google Scholar
  13. 13.
    Laws ER, Fode NC, Redmond NJ (1985) Transsphenoidal surgery following unsuccessful prior therapy. J Neurosurg 63: 823–829Google Scholar
  14. 14.
    Laws ER, Piepgras DG, Randall RV, Abbound CF (1979) Neurosurgical management of acromegaly. Neurosurgery 50: 454–461Google Scholar
  15. 15.
    Mendelsohn DB, Hertzanu Y (1979) Intracerebral pneumatoceles following fascial trauma: CT findings. Radiology 154: 115–118Google Scholar
  16. 16.
    Osborn AG, Daines JH, Wings SH,et al (1978) Intracranial air on CT. J Neurosurg 48: 355–359Google Scholar
  17. 17.
    Osborn JE, Parker AJ (1984) Air in the ventricles: an unusual complication of nasal polypectomy. J Laryngol Otol 99: 1275–1278Google Scholar
  18. 18.
    Ruge JR, Cerullo LJ, Melone D (1985) Pneumocephalus in patients with CSF shunts. J Neurosurgery 63: 532–536Google Scholar
  19. 19.
    Saitoh Y, Mori S, Nii Y,et al (1985) Bifrontal epidural hematoma after transsphenoidal operation: report of a case with a rare complication. Neurosurgery 16: 658–659Google Scholar
  20. 20.
    Sharma BS, Tewari MK, Khosla VK,et al (1989) Tension pneumocephalus evacuation of chronic subdural hematoma. Br J Neurosurg 3 (3): 381–387Google Scholar
  21. 21.
    Shields CB, Valdes-Rodriguez AG (1982) Tension pneumocephalus after transsphenoidal hypophysectomy: case report. Neurosurgery 11: 687–689Google Scholar
  22. 22.
    Singh VP,et al (1990) Posterior fossa tension pneumocephalus. Clin Neurol Neurosurg 92 (3): 258–260Google Scholar
  23. 23.
    Staves J, McGeachine R, Turner DA,et al (1987) Symptomatic intracranial pneumatocele from mastoid sinus of spontaneous origin. J Neurosurg 67: 773–775Google Scholar
  24. 24.
    Thomson JA, Teasdale GM, Gordon D,et al (1985) Treatment of presumed prolactinoma by transsphenoidal operation: early and late results. Br Med J 291: 1550–1553Google Scholar
  25. 25.
    Toung T, Donham RT, Lehner A,et al (1983) Tension pneumocephalus after posterior fossa craniotomy: report of four additional cases and review of postoperative pneumocephalus. Neurosurgery 12: 164–168Google Scholar
  26. 26.
    Walker FO, Vern BA (1986) The mechanism of pneumocephalus formation in patients with CSF fistulas. J Neurol Neurosurg Psychiatry 49: 203–205Google Scholar
  27. 27.
    Wilson CB, Dempsey LC (1978) Transsphenoidal microsurgical removal of 250 pituitary adenomas. J Neurosurg 48: 13–22Google Scholar

Copyright information

© Springer-Verlag 1995

Authors and Affiliations

  • N. Yüceer
    • 1
  • K. Çakíroğlu
    • 1
  • A. Erdoğan
    • 1
  • H. Z. Gökalp
    • 1
  • C. Bağdatoğlu
    • 1
  1. 1.Department of NeurosurgeryAnkara University, School of Medicine, Ibn-i Sina Medical CentreAnkaraTurkey

Personalised recommendations