Tension pneumocephalus mimicking septic shock: a case report

摘要: Tension pneumocephalus can lead to rapid neurologic deterioration. We report for the first time its association with aseptic systemic inflammatory response syndrome mimicking septic shock and efficacy of prompt neurosurgical intervention critical care support in treating this condition. A 64-year-old man underwent 2-stage olfactory groove meningioma resection. The patient developed altered mental status gait instability on postoperative day 6. Imaging showed significant pneumocephalus. subsequently worsening status, respiratory failure, profound requiring multiple vasopressors. Bedside needle decompression, identification repair cranial fossa defect, led improved reversal multiorgan dysfunction. Thorough evaluation revealed no evidence an underlying infection. In case, tension incited shock. Prompt correction not only but also reversed Such a complication indicates importance close monitoring patients progressive