%0 Review
%T Tension pneumocephalus in a patient with NF1 following ventriculoperitoneal shunt-deciphering the cause and proposed management strategy.
%A Singh K
%A Kumar A
%A Srivastava A
%A Singh RP
%A Kumar R
%J Childs Nerv Syst
%V 39
%N 12
%D 2023 Dec 1
%M 37392224
%F 1.532
%R 10.1007/s00381-023-06052-6
%X <B>BACKGROUND: </B>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.<BR><B>METHODS: </B>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.<BR><B>CONCLUSIONS: </B>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.