Tension Pneumocephalus Related to Radiotherapy for Nasopharyngeal Carcinoma
Introduction. Tension pneumocephalus (TP) is a very rare complication related to radiotherapy for nasopharyngeal carcinoma (NPC). Case Presentation. A 46-year-old man was admitted to the hospital with an altered mental status and aqueous rhinorrhea for several hours of evolution. The computed tomogr...
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| Format: | Article |
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Wiley
2014-01-01
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| Series: | Case Reports in Oncological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2014/327380 |
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| author | Esther Jimenez-Jimenez Sebastià Sabater Martí M. Victoria Villas |
| author_facet | Esther Jimenez-Jimenez Sebastià Sabater Martí M. Victoria Villas |
| author_sort | Esther Jimenez-Jimenez |
| collection | DOAJ |
| description | Introduction. Tension pneumocephalus (TP) is a very rare complication related to radiotherapy for nasopharyngeal carcinoma (NPC). Case Presentation. A 46-year-old man was admitted to the hospital with an altered mental status and aqueous rhinorrhea for several hours of evolution. The computed tomography (CT) scan showed TP, a defect in the skull base and nasocranial fistula. The patient was receiving a second course of radiotherapy for local relapse. With medical treatment the patient recovered neurological status but died two days later. Discussion. In our knowledge, only 4 cases with similar characteristics have been reported in the literature. This is the first case report of TP during radiotherapy. TP was an abrupt and rapid process with neurological impairment for hours of evolution without suspicious osteoradionecrosis (OR) in previous scan images. The defect in the skull base could be due to a rapid disappearance of the tumor. The appearance of aqueous rhinorrhea and neurological symptoms must be viewed as signs of alarm. |
| format | Article |
| id | doaj-art-a6b6f8aaf6d94c0fa8ed12392d309b98 |
| institution | Kabale University |
| issn | 2090-6706 2090-6714 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Oncological Medicine |
| spelling | doaj-art-a6b6f8aaf6d94c0fa8ed12392d309b982025-02-03T01:01:37ZengWileyCase Reports in Oncological Medicine2090-67062090-67142014-01-01201410.1155/2014/327380327380Tension Pneumocephalus Related to Radiotherapy for Nasopharyngeal CarcinomaEsther Jimenez-Jimenez0Sebastià Sabater Martí1M. Victoria Villas2Radiation Oncology Department, Hospital Universitari Son Espases de Palma de Mallorca, Palma Health Research Institute (IdIsPa), 07005 Palma de Mallorca, SpainRadiation Oncology Department, Complejo Hospitalario Universitario de Albacete, 02006 Albacete, SpainRadiation Oncology Department, Complejo Hospitalario Universitario de Albacete, 02006 Albacete, SpainIntroduction. Tension pneumocephalus (TP) is a very rare complication related to radiotherapy for nasopharyngeal carcinoma (NPC). Case Presentation. A 46-year-old man was admitted to the hospital with an altered mental status and aqueous rhinorrhea for several hours of evolution. The computed tomography (CT) scan showed TP, a defect in the skull base and nasocranial fistula. The patient was receiving a second course of radiotherapy for local relapse. With medical treatment the patient recovered neurological status but died two days later. Discussion. In our knowledge, only 4 cases with similar characteristics have been reported in the literature. This is the first case report of TP during radiotherapy. TP was an abrupt and rapid process with neurological impairment for hours of evolution without suspicious osteoradionecrosis (OR) in previous scan images. The defect in the skull base could be due to a rapid disappearance of the tumor. The appearance of aqueous rhinorrhea and neurological symptoms must be viewed as signs of alarm.http://dx.doi.org/10.1155/2014/327380 |
| spellingShingle | Esther Jimenez-Jimenez Sebastià Sabater Martí M. Victoria Villas Tension Pneumocephalus Related to Radiotherapy for Nasopharyngeal Carcinoma Case Reports in Oncological Medicine |
| title | Tension Pneumocephalus Related to Radiotherapy for Nasopharyngeal Carcinoma |
| title_full | Tension Pneumocephalus Related to Radiotherapy for Nasopharyngeal Carcinoma |
| title_fullStr | Tension Pneumocephalus Related to Radiotherapy for Nasopharyngeal Carcinoma |
| title_full_unstemmed | Tension Pneumocephalus Related to Radiotherapy for Nasopharyngeal Carcinoma |
| title_short | Tension Pneumocephalus Related to Radiotherapy for Nasopharyngeal Carcinoma |
| title_sort | tension pneumocephalus related to radiotherapy for nasopharyngeal carcinoma |
| url | http://dx.doi.org/10.1155/2014/327380 |
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