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Delayed unilateral pneumocephalus after bilateral endoscopic dacryocystorhinostomy in an elderly patient

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Author(s)
Jaekyoung LeeDong Cheol Lee
Keimyung Author(s)
Lee, Dong Cheol
Department
Dept. of Ophthalmology (안과학)
Journal Title
BMJ Case Rep
Issued Date
2021
Volume
14
Issue
5
Abstract
Dacryocystorhinostomy (DCR) is the 'gold standard' treatment for nasolacrimal duct obstruction (NLDO). However, despite its recent technical advancements, complications are possible. Herein, to the best of our knowledge, we present the first reported case of delayed unilateral pneumocephalus after bilateral endoscopic DCR. An 85-year-old man with bilateral NLDO underwent endoscopic DCR with silicone intubation. After 1 month, he became lethargic and was admitted to emergency room. Brain CT demonstrated left pneumocephalus and a suspected microfistula in left orbital wall. Intravenous antibiotic therapy was started, and cerebrospinal fluid studies showed no evidence of meningitis. After 13 days of antibiotic treatment, his mental state recovered with no signs of pneumocephalus. Although DCR has high success rate and is relatively safe, surgeons should be aware of the risk, although low, of pneumocephalus, especially in elderly patients who are vulnerable to fractures and who exhibit headache or mental status changes after endoscopic DCR.
Keimyung Author(s)(Kor)
이동철
Publisher
School of Medicine (의과대학)
Citation
Jaekyoung Lee and Dong Cheol Lee. (2021). Delayed unilateral pneumocephalus after bilateral endoscopic dacryocystorhinostomy in an elderly patient. BMJ Case Rep, 14(5), e241540. doi: 10.1136/bcr-2020-241540
Type
Article
ISSN
1757-790X
Source
https://casereports.bmj.com/content/14/5/e241540
DOI
10.1136/bcr-2020-241540
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/43780
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Ophthalmology (안과학)
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