![]() However, tension PNC resulting from epidural anesthesia procedures is an extremely rare outcome that implies urgent intervention to relieve the tension within the brain. PNC was also reported after unintentional dural puncture throughout the epidural anesthesia process. It can get complicated into tension PNC on some rare occasions, leading to an intracranial mass effect. Pneumocephalus (PNC) is a well-described consequence in postoperative settings and skull fractures that is usually self-limiting. Keywords: Tension pneumoventricle, surgical techniques stereotactic evacuation Stereotactic evacuation of the air present inside the ventricle is a proven adequate solution. He developed a tension pneumoventricle successfully managed by stereotactic evacuation of the air in the ventricles.Ĭonclusion: Tension pneumoventricle is a rare, difficult-to-manage, complication of intracranial procedure that can be devastating for the untreated patient. If left untreated, this condition may lead to rapid deterioration of the level of consciousness, coma, herniation, and death.Ĭase presentation: We report a case of a 65-year-old man managed for acute hydrocephalus as a complication of anterior clinoid artery aneurysm clipping following aneurysmal subarachnoid hemorrhage. When the air accumulates over time, exerting a mass effect over surrounding neurological structures and increasing intraventricular and intracranial pressures, it is called tension pneumoventricle. Pneumoventricle is the presence of air in the ventricular system.
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