Abstract：
BACKGROUND: Spontaneous pneumocephalus following ventriculoperitoneal shunting is a very unique complication, seen in a handful of patients. Small bony defects form as a result of chronically raised intracranial pressure, which can later lead to pneumocephalus once intracranial pressure decreases following ventriculoperitoneal shunting.
METHODS: Here, we present a case of a 15-year-old girl with NF1 who presented to us with pneumocephalus 10 months following shunting and our management strategy along with a literature review of this condition.
CONCLUSIONS: NF1 & hydrocephalus can lead to skull base erosion, which needs to be looked up before proceeding with VP shunting to avoid delayed onset pneumocephalus. SOKHA with the opening of LT is a minimally invasive approach suitable to tackle both problems simultaneously.
METHODS: Here, we present a case of a 15-year-old girl with NF1 who presented to us with pneumocephalus 10 months following shunting and our management strategy along with a literature review of this condition.
CONCLUSIONS: NF1 & hydrocephalus can lead to skull base erosion, which needs to be looked up before proceeding with VP shunting to avoid delayed onset pneumocephalus. SOKHA with the opening of LT is a minimally invasive approach suitable to tackle both problems simultaneously.
摘要：
背景：脑室腹膜分流后自发性气颅是一种非常独特的并发症，在少数病人身上看到的。颅内压长期升高会形成小骨缺损，一旦脑室腹膜分流后颅内压降低，这可能会导致肺气肿。
方法：这里，我们介绍了一例15岁的NF1患者,该患者在分流后10个月出现了气颅,以及我们的治疗策略和对这种情况的文献综述.
结论：NF1和脑积水可导致颅底侵蚀，在进行VP分流之前需要抬头检查，以避免迟发性气颅。带有LT开口的SOKHA是一种微创方法，适用于同时解决这两个问题。
方法：这里，我们介绍了一例15岁的NF1患者,该患者在分流后10个月出现了气颅,以及我们的治疗策略和对这种情况的文献综述.
结论：NF1和脑积水可导致颅底侵蚀，在进行VP分流之前需要抬头检查，以避免迟发性气颅。带有LT开口的SOKHA是一种微创方法，适用于同时解决这两个问题。
