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Tension pneumocephalus following an implant removal from spine
  1. Raghuraj Suresh Kundangar,
  2. Shyamasunder N Bhat and
  3. Simanchal P Mohanty
  1. Orthopaedics, Manipal Academy of Higher Education, Manipal, Karnataka, India
  1. Correspondence to Dr Shyamasunder N Bhat; shyambhatn{at}


Pneumocephalus is commonly seen after skull and maxillofacial fractures. It can also occur following cerebrospinal fluid leak after skull base surgery and epidural catheter placement. We report a rare case report of a 20-year-old man who developed tension pneumocephalus following implant removal from the spine. He responded well to the conservative treatment without any neurological complications.

  • orthopaedics
  • medical management

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  • Contributors All authors made an individual contribution to the writing of the article. RSK, SNB and SPM: conception and design, acquisition of data or analysis and interpretation of data RSK and SNB: drafting the article or revising it critically for important intellectual content. RSK, SNB and SPM: final approval of the version published. All authors agreed to be accountable for the article and to ensure that all questions regarding the accuracy or integrity of the article are investigated and resolved.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.