Severe headache following ozone therapy: Pneumocephalus

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dc.contributor.authorToman, Huseyin
dc.contributor.authorOzdemir, Ugur
dc.contributor.authorKiraz, Hasan Ali
dc.contributor.authorLuleci, Nurettin
dc.date.accessioned2025-01-27T20:29:09Z
dc.date.available2025-01-27T20:29:09Z
dc.date.issued2017
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractPneumocephalus is defined as air in the cranial cavity. Pneumocephalus can result from inadvertent dural puncture during lumbar epidural anesthesia or epidural steroid injection. Presently described is case of 41-year-old woman who had undergone lumbar disc hernia operation but due to ongoing complaints, was diagnosed as having failed back surgery syndrome. Percutaneous epidural neuroplasty was performed. In the operating room, under sterile conditions and under sedoanalgesia, Racz catheter was inserted in caudal area and guided to epidural area with scope. In accordance with Madrid Declaration, 20 ug/mL concentration and 5 mL volume oxygen-ozone mixture was injected. After waiting 5 minutes, 0.25% bupivacaine + 80 mg triamcinolone + 1500 units hyaluronidase was administered through the catheter. After epidural neuroplasty procedure, when patient was taken to gurney, she complained of severe headache and nausea. Computed tomography scans of head were done immediately, and consistent with pneumocephalus, air was observed in right lateral ventricle frontal horn, interhemispheric fissure, and superior cerebellar cistern. Patient was placed in Trendelenburg position and intravenous fluid was replaced. Analgesics and bed rest were recommended as treatment. Patient was discharged from hospital on the second day. Within a week, headache pain and other complaints had resolved. In this article, the case of a failed back surgery patient who was postoperatively treated with medical ozone and experienced complication of pneumocephalus is discussed in context of literature data.
dc.identifier.doi10.5505/agri.2016.36024
dc.identifier.endpage136
dc.identifier.issn1300-0012
dc.identifier.issue3
dc.identifier.pmid29039154
dc.identifier.scopus2-s2.0-85031778865
dc.identifier.scopusqualityQ3
dc.identifier.startpage132
dc.identifier.urihttps://doi.org/10.5505/agri.2016.36024
dc.identifier.urihttps://hdl.handle.net/20.500.12428/22846
dc.identifier.volume29
dc.identifier.wosWOS:000418537900007
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherKare Publ
dc.relation.ispartofAgri-The Journal of The Turkish Society of Algology
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WoS_20250125
dc.subjectEpidural anesthesia
dc.subjectheadache
dc.subjectoxygen-ozone therapy
dc.subjectpneumocephalus
dc.titleSevere headache following ozone therapy: Pneumocephalus
dc.typeArticle

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