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Arch Craniofac Surg. 2016 Dec;17(4):225-228. English. Case Report.
Lee JS , Ahn S , Eom KS .
Department of Neurosurgery, Wonkwang University Hospital, Iksan, Korea.
Department of Surgery, Division of Coloproctology, Wonkwang University Hospital, Iksan, Korea.

The entrapment of intracranial air from the check valve system results in a tension pneumocephalus. It should be distinguished from simple pneumocephalus because they are intracranial space-occupying masses that can threaten life. Communicating hydrocephalus is a serious and frequent complication of post-traumatic head injury. Head injury is one of the most common causes in etiopathogenesis of communicating hydrocephalus. Here, we describe a case of a 65-year-old man who developed communicating hydrocephalus after a post-traumatic tension pneumocephalus. To the best of our knowledge, this is the first reported case of communicating hydrocephalus developed after a post-traumatic tension pneumocephalus. Although the exact pathogenic mechanisms underlying the cascade following trauma remain unclear, communicating hydrocephalus after a tension pneumocephalus could be considered a possible complication.

Copyright © 2019. Korean Association of Medical Journal Editors.