Pseudohypoxic brain swelling (PHBS)

Evidence-based neurology checklist on pseudohypoxic brain swelling (phbs): Pathology This is intracranial hypotension following neurosurgery It may follow cranial or spinal surgery It is due to cerebrospinal fluid (CSF) leakage It results in intracranial venous congestion Clinical features…

Pathology

  • This is intracranial hypotension following neurosurgery
  • It may follow cranial or spinal surgery
  • It is due to cerebrospinal fluid (CSF) leakage
  • It results in intracranial venous congestion

Clinical features

Computed tomography (CT) head

Magnetic resonance imaging (MRI) brain: features

References

  1. Chidambaram S, Swong K, Ander M, Nockels RP. Pseudohypoxic brain swelling after uncomplicated lumbar decompression and fusion for spondylolisthesis. World Neurosurg 2020; 133:155-158.
  2. Parpaley Y, Urbach H, Kovacs A, Klehr M, Kristof RA. Pseudohypoxic brain swelling (postoperative intracranial hypotension-associated venous congestion) after spinal surgery: report of 2 cases. Neurosurgery 2011; 68:E277-E283.
  3. Van Roost D, Thees C, Brenke C, Oppel F, Winkler PA, Schramm J. Pseudohypoxic brain swelling: a newly defined complication after uneventful brain surgery, probably related to suction drainage. Neurosurgery 2003; 53:1315-1326.

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