Tension pneumocephalus causing brain herniation after endosc
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Endoscopic sinus surgery (ESS) may rarely be complicated by intracranial complications; the most common of them is a cerebrospinal fluid fistula. Pneumocephalus is defined as the presence of air within the cranium. The most common causes of pneumocephalus were head trauma and iatrogenic violation of the dura. Moreover, emphysematous bacterial infections, tumor invasion, encephalocele, and Valsalva maneuver may cause pneumocephalusPneumocephalus as a complication of ESS is quite rare. Here, we presented a unique case of tension pneumocephalus causing brain herniation as a complication of ESS, to whom emergent craniotomy was performed.

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