{Reference Type}: Review
{Title}: Tension pneumocephalus in a patient with NF1 following ventriculoperitoneal shunt-deciphering the cause and proposed management strategy.
{Author}: Singh K;Kumar A;Srivastava A;Singh RP;Kumar R;
{Journal}: Childs Nerv Syst
{Volume}: 39
{Issue}: 12
{Year}: 2023 Dec 1
{Factor}: 1.532
{DOI}: 10.1007/s00381-023-06052-6
{Abstract}: <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.