JOURNAL OF CLINICAL NEUROSCIENCE, cilt.17, sa.7, ss.934-936, 2010 (SCI-Expanded)
Symptomatic spontaneous pneumocephalus after a spinal fusion for spondylolisthesis without injury to the dura mater is rare There are only a few reports of tension pneumocephalus after spinal operations published in English We present a patient who developed tension pneumocephalus without recognised dural injury during surgery CT cisternography and MRI showed no anatomical defects that could have caused the pneumocephalus We suggest that spontaneous pneumocephalus without dural injury may occur after a spondylolisthesis operation because of increased intra-abdominal pressure, and thus may be avoided by the careful management of abdominal pressure (C) 2010 Elsevier Ltd All rights reserved