Work

Multidisciplinary Management of Bilateral Pneumocephalus after Burr Hole Surgery: A Case Report

Year: 2025

Type: article

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.

Source: NMC Case Report Journal

DOI: 10.2176/jns-nmc.2025-0199

Authors: Hsiang-Ling HUANG, Hui-Ling YEH, Sheng-Tzung TSAI

Institutions: Tzu Chi University, Tzu Chi Foundation, Hualien Tzu Chi Medical Center, Buddhist Tzu Chi Medical Foundation

Language: English

Topic: Neurosurgical Procedures and Complications

Subfield: Neurology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

Funders: Buddhist Tzu Chi Medical Foundation, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation