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Case Reports in Medicine
Volume 2013 (2013), Article ID 105087, 5 pages
http://dx.doi.org/10.1155/2013/105087
Case Report

Delayed Pneumocephalus-Induced Cranial Neuropathy

Department of Neurosurgery, Wayne State University, Detroit Medical Center, and Karmanos Cancer Institute, 4160 John R Street, Suite 930, Detroit, MI 48201, USA

Received 15 June 2013; Revised 5 August 2013; Accepted 19 August 2013

Academic Editor: Yasuhiko Sugawara

Copyright © 2013 Neena I. Marupudi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Pneumocephalus is a common occurrence after cranial surgery, with patients typically remaining asymptomatic from a moderate amount of intracranial air. Postsurgical pneumocephalus rarely causes focal neurological deficits; furthermore, cranial neuropathy from postsurgical pneumocephalus is exceedingly uncommon. Only 3 cases have been previously reported that describe direct cranial nerve compression from intracranial air resulting in an isolated single cranial nerve deficit. The authors present a patient who developed dysconjugate eye movements from bilateral oculomotor nerve palsy. Direct cranial nerve compression occurred as a result of postoperative pneumocephalus in the interpeduncular cistern. The isolated cranial neuropathy gradually recovered as the intracranial air was reabsorbed.