ArticleNMC case report journal2025
Multidisciplinary Management of Bilateral Pneumocephalus after Burr Hole Surgery: A Case Report.
Article in NMC case report journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Postoperative pneumocephalus is a common complication following burr hole surgery, particularly in older adults with cerebral atrophy. Although often self-limiting, its management may be challenging in patients with complex comorbidities. We report a 74-year-old woman with Parkinson's disease, ischemic stroke, and dementia who underwent bilateral burr hole drainage for subdural effusion and hematoma. Postoperatively, she developed bilateral pneumocephalus with persistent impaired consciousness. High-flow nasal cannula oxygen therapy was initiated, resulting in a marked reduction of intracranial air and considerable neurological improvement. This case highlights that high-flow nasal cannula oxygen therapy is a safe and effective strategy for managing postoperative pneumocephalus in older adults with multiple neurological comorbidities and underscores the importance of individualized treatment planning in complex neurosurgical cases.
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