Pneumocephalus Following Thoracic Surgery with Posterior Chest Wall Resection.

Pneumocephalus Following Thoracic Surgery with Posterior Chest Wall Resection.

Thorac Cardiovasc Surg Rep. 2015 Dec;4(1):5-7

Authors: Müller I, Tönnies M, Pfannschmidt J, Kaiser D

Abstract
Pneumocephalus can be seen after head injury with fracture of the skull-base or in cerebral neoplasm, infection, or after intracranial or spinal surgery. We report on a 69-year-old male patient with pneumocephalus after right-sided lobectomy and en bloc resection of the chest wall for non-small-cell lung cancer. Postoperatively, the patient showed a reduced vigilance level with no response to pain stimuli and anisocoria. The CCT scan revealed an extensive pneumocephalus; following which, the patient underwent neurosurgery with laminectomy and ligature of the transected nerve roots. After operation the patient returned to his baseline mental status.

PMID: 26693117 [PubMed]

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