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LETTER TO EDITOR
Year : 2017  |  Volume : 12  |  Issue : 1  |  Page : 148

Pneumocephalus is not a serious outcome after surgery for chronic SDH


Department of Neurosurgery, Nirmal Balrugnalaya, Ratnagiri, Maharashtra, India

Date of Web Publication17-Mar-2017

Correspondence Address:
Pratyush Chaudhuri
Department of Neurosurgery, Nirmal Balrugnalaya, Ratnagiri, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1793-5482.150005

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How to cite this article:
Chaudhuri P. Pneumocephalus is not a serious outcome after surgery for chronic SDH. Asian J Neurosurg 2017;12:148

How to cite this URL:
Chaudhuri P. Pneumocephalus is not a serious outcome after surgery for chronic SDH. Asian J Neurosurg [serial online] 2017 [cited 2017 Jul 28];12:148. Available from: http://www.asianjns.org/text.asp?2017/12/1/148/150005

I wish to congratulate Zidan Ihab for the publication of the article ''Pneumocephalus after surgical evacuation of chronic subdural hematoma: Is it a serious complication?'' in Vol. 7, Issue 2, April- June, 2012. However, it was not clear as to how the study concluded on any new contribution in the management of chronic sub dural hematoma (Ch SDH). From my personal experience, I wish to contribute the following:

  • Pneumocephalus after surgery for Ch SDH has never been a serious complication but an obvious outcome of the procedure with no significant consequence
  • Ch SDH and its management should no longer be associated with mortality or significant morbidity other than in conditions of multisystem involvement
  • During the management of 43 cases in the last 5 years [unpublished], we conclude that 100% oxygen therapy or bed flat position did not significantly affect the outcome of therapy though theoretically it may result in early resolution of the pneumocephalus
  • Preventing dehydration rather than overhydration was more effective in favorable outcome.


In conclusion, I hope a similar study involving a larger number of patients would be conducted to reevaluate the role of 100% oxygen supplementation and decubitus with its implications in rural semirural segment of the world.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.




 

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