Open AccessTension pneumoventricle after excision of third ventricular tumor in sitting position
Author(s) -
Nidhi Gupta,
Girija Prasad Rath,
Charu Mahajan,
Surya Kumar Dube,
Sandeep Sharma
Publication year - 2011
Publication title -
journal of anaesthesiology-clinical pharmacology/journal of anaesthesiology clinical pharmacology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.466
H-Index - 32
eISSN - 2231-2730
pISSN - 0970-9185
DOI - 10.4103/0970-9185.83697
Subject(s) - medicine , sitting , third ventricle , craniotomy , surgery , hydrocephalus , ventricle , cerebrospinal fluid , prone position , fourth ventricle , seal (emblem) , complication , anatomy , cardiology , pathology , art , visual arts
Occurrence of tension pneumoventricle (symptomatic intraventricular air) can result in rapid clinical deterioration in an otherwise stable patient. It is a rare clinical entity, mentioned in relation to cerebrospinal fluid (CSF) diversion procedures, during the late postoperative period. We present a patient with posterior third ventricular tumor who underwent excision by midline suboccipital craniotomy in sitting position. Neurological status of the patient deteriorated rapidly in the immediate postoperative period owing to development of tension pneumoventricle. The condition improved after twist-drill burr-hole evacuation of air under water-seal. Pre-existing gross hydrocephalus, exploration of third ventricle in sitting position, and residual tumor in third ventricle were possibly the factors responsible for this complication.