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Background <p>Pneumocephalus is a rare but dangerous side effect of spine surgery. It is quite uncommon for it to occur following degenerative scoliosis correction surgery; however, it is usually linked to trauma or cranial surgery and infection.</p> Case presentation <p>A 41-year-old woman developed a tension pneumocephalus after back surgical decompression and instrumentation in degenerative scoliosis. The postoperative CT scan showed the typical Mount Fuji sign indicating tension pneumocephalus. An incidental finding of a bony deficit through the base of the skull in the clivus was made, however, CSF leak or rhinorrhea and signs of infection were not observed. The patient had received conservative treatment for a clivus deformity and bilateral burr hole drainage. Two years later, a follow-up showed that the symptoms had completely resolved and were no longer present.</p> Conclusion <p>This case illustrates the value of multidisciplinary approaches to therapy and postoperative care and the need for early detection and management of pneumocephalus, an uncommon but dangerous complication.</p>

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Pneumocephalus after surgical correction of degenerative scoliosis: a case report

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年1月21日

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  • Anas Al Abdallat,
  • Amjad Al Rashdan,
  • Monther Alessa,
  • Ahmad Almigdad,
  • Radwan Abu Romman,
  • Ramzi Yosef

摘要

Background

Pneumocephalus is a rare but dangerous side effect of spine surgery. It is quite uncommon for it to occur following degenerative scoliosis correction surgery; however, it is usually linked to trauma or cranial surgery and infection.

Case presentation

A 41-year-old woman developed a tension pneumocephalus after back surgical decompression and instrumentation in degenerative scoliosis. The postoperative CT scan showed the typical Mount Fuji sign indicating tension pneumocephalus. An incidental finding of a bony deficit through the base of the skull in the clivus was made, however, CSF leak or rhinorrhea and signs of infection were not observed. The patient had received conservative treatment for a clivus deformity and bilateral burr hole drainage. Two years later, a follow-up showed that the symptoms had completely resolved and were no longer present.

Conclusion

This case illustrates the value of multidisciplinary approaches to therapy and postoperative care and the need for early detection and management of pneumocephalus, an uncommon but dangerous complication.