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Acta Neurochir (Wien). 2018 Jul;160(7):1401-1405. doi: 10.1007/s00701-018-3537-5. Epub 2018 Apr 26.

Hyperbaric oxygen therapy of air embolus in the cerebral venous sinuses after intracranial surgery: a case report.

Author information

1
Department of Neurosurgery, Oslo University Hospital, Oslo, Norway.
2
Faculty of Medicine, University of Oslo, Oslo, Norway.
3
Department of Hyperbaric Medicine, Oslo University Hospital, Oslo, Norway.
4
Department of Radiology, Oslo University Hospital, Oslo, Norway.
5
Department of Neurosurgery, Oslo University Hospital, Oslo, Norway. jramm@ous-hf.no.

Abstract

A case with cerebral venous air embolism (CVAE) after neurosurgery and treated with hyperbaric oxygen therapy (HBOT) is presented. This is a rare and potentially fatal complication that neurosurgeons should be aware of. A 52-year-old male was diagnosed with an intracerebral hematoma. An emergency evacuation of the hematoma was performed with a craniotomy and the postoperative CT scan showed a complete evacuation of the hematoma, but it also revealed a CVAE. The patient was immediately referred to HBOT and received three sessions within 48 h. The CT scan after the first HBOT showed no CVAE, venous thrombosis, or new hematoma.

KEYWORDS:

Central venous air embolism; Hyperbaric oxygen treatment; Intracerebral hematoma; Intracranial surgery

PMID:
29696503
DOI:
10.1007/s00701-018-3537-5

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