Studying an opportunity to optimize the treatment of the patients with severe traumatic brain injuries is a topical issue in modern neurosurgery. Traumatic tension pneumocephalus is one of life-threatening conditions which accompanies severe TBI and is often complicated with posttraumatic liquorrhea and mass effect. Materials and methods. We carried out systematic search in Russian and foreign medical databases (Medline, Russian Science Citation Index, EMedicine, UMKB) concerning our theme. We included the following words in our search request: tension pneumocephalus, mass effect, valve mechanism, treatment. The result of conducted review of literature was writing the clinic lecture, studying current status of the problem of etiopathogenesis, diagnostics and surveillance of the patients with tension pneumocephalus. The article presenas clinical case of successful surgical treatment of a patient with traumatic tension pneumocephalus. Conclusion. There are no uniform standards of urveillance of the patients with tension pneumocephalus. Based on our own experience, we determined that minimally invasive surgery is a method of choice among reconstructive craniofa-cial surgeries in the treatment of patients with traumatic tension pneumocephalus. It decreases the risks of intra- and postoperative complication. Compliance, using external ventricular drainage and repeated lumbar punctures with prevention of inflammatory complications helped stopping nasal liquorrhea and eliminating mass effect which caused absolute regression of neurological signs
traumatic brain injury, traumatic tension pneumocephalus, mass effect, valve mechanism, nasal liquorrhea
1. BlagoveshchenskayaIS (1972). Combines disorders of frontal sinuses and brain [Sochetannye porazheniya lobnykh pazukh i mozga], 272
2. Grashch.enkovNI, IrgerIM (1962). Late period after closed craniocerebral injury [Pozdniy period zakrytoy cherepno-mozgovoy travmy] Mnogotomnoe rukovodstvo po nevrologii, (8), 450.
3. DralyukNS, DralyukMG (1968). Continuous intrac-arotid infusion in neurosurgery [Dlitel›naya intrakarot-idnaya infuziya v neyrokhirurgii]. Voprosy neyrokhirurgii im. N.N. Burdenko, (4), 54-57
4. LebedevVV, KaramyshevVA (1985). Diagnostics of liquorrhea in acute phase of traumatic brain injury [Di-agnostika likvorei v ostrom periode ChMT]. Khirurgiya, (11), 34-37
5. LikhtermanLB, PotapovAA, KravchukAD, Okhlop-kovVA (2014) Clinical features and surgical treatment of TBI consequences [Klinika i khirurgiya posledstviy cherepno-mozgovoy travmy]. Consilium Medicum, 16(9), 109-118.
6. KornienkoVN, ProninIN (2008) Diagnostic neuro-radiology [Diagnosticheskaya neyroradiologiya], 1327
7. ParfyonovAL, AmcheslavskiyVG, PotapovAA, GaiturEI (2001). Principles of advanced life support at severe traumatic brain injury [Printsipy intensivnoy ter-apii tyazheloy cherepno-mozgovoy travmy]. Klinicheskoe rukovodstvo po cherepno-mozgovoy travme, 450
8. PitskhelauriDI (1997) Choosing surgical approach to the pineal tumors and tumors of posterior wall of the third ventricle: dissertation of Candidate of Medical Sciences [Vybor khirurgicheskogo dostupa k opukholyam pineal›noy oblasti i zadnikh otdelov III zheludochka: dis. ... kand. med. nauk], 182
9. PotapovAA (2002) Posttraumatic basal liquorrhea [Posttravmaticheskaya bazal›naya likvoreya]. Meditsin-skaya gazeta, (81), 3-5
10. RumyantsevYV, BessmertniyMZ (1979) Concerning traumatic pneumocephalus [O travmaticheskoy pnev-motsefalii]. Voprosy neyrokhirurgii im. N.N. Burdenko, (4), 47-49.
11. SerikovYG (1967) Posttraumatic pneumocephalus [Posttravmaticheskaya pnevmotsefaliya]. Voprosy ney-rokhirurgii im. N.N. Burdenko, (4), 45-46.
12. KiselyovAM, KachkovIA, KaryakinNN, HusseinNA (2003). A method of treatment of pneumocephalus: Pat-ent2 203694 of the Russian Federation [Sposob lecheniya pnevmotsefalii: Patent No 2203694 Ros. Federatsiya]
13. RyabovaAI, NovikovVA, GyunterVE, SyrkashevVA, ShtinVI, SurkovaPA, ProskurinAV, SenatrevaVV (2014). A method of reconstruction of extensive defects of the floor of anterior cranial fossa: Patent2570619 of the Russian Federation [Sposob rekonstruktsii obshirnykh defektov dna peredney cherepnoy yamki: Patent No 2570619 Ros. Federatsiya].
14. SyrkashevVA, NovikovVA, RyabovaAI (2011). Pri-mary plastic repair of postoperative skull base and cap defects in cancer patients [Pervichnaya plastika posle-operatsionnykh defektov osnovaniya i svoda cherepa u onkologicheskikh bol›nykh]. Sibirskiy onkologicheskiy zhurnal, (4), 54-58
15. TabolinVA (1992). On the treatment of anaerobic infection [K voprosu o terapii anaerobnoy infektsii]. Che-lovek i lekarstvo: Materialy I Rossiyskogo natsional’nogo kongressa, 328.
16. TsementisSA (2005) Differential diagnostics in neu-rology and neurosurgery [Differentsial›naya diagnostika v nevrologii i neyrokhirurgii], 384
17. CherniyVI, KolesnikovAN, KuznetsovaIV (2009) Al-gorithm for choosing antibacterial drugs in the intensive care unit [Algoritm vybora antibakterial›nykh preparatov v otdelenii intensivnoy terapii], 462.
18. ShevryginBV (1998). Sinusitis in children and adults [Sinusit u detey i vzroslykh], 255
19. AlexanderEJ, DavisC, SuwanweinС (1982). Extradural aerocele. Case report with 20-year follow-up results. J. Neurosurg., (56), 349
20. AlkerGJ, OhYS, LeslieEV, LehotayJ, PanaroVA, EschnerEG (1975). Postmortem radiology of head neck injuries in fatal traffic accidents. Radiology, (114), 617.
21. BellWE, JoyntBJ, ScihsAL (1960). Low spinal fluid pressure syndromes. Neurology, (10), 512-521.
22.
23. ChiariH. (1884). Uber einen Fall von Luftan-sammlung in den Ventrikeln des menschlichen Gehirns. Ztschr. f Heilk., (5), 383.
24. DandyWE (1926). Pneumocephalus (intracranial pneumatocele or aerocele). Arch. Surg., (12), 949-982.
25. DietzH (1970). Die frontobasale Schadelhirn-verletzung. Monographien aus dem Gesamtgebiet der Neurologie und Psychiatrie, 130.
26. GurdjianES, WebsterJE (1944). Surgical man-agement of compound depressed fracture of frontal sinus, cerebrospinal rhinorrhea and pneumocephalus. Arch. Otolaryng., (39), 570
27. KesslerLA, SternWK (1962). The ventriculopleu-ral shunt procedure for hydrocephalus. Case report of an unusual complication. J. Pediat., (60), 418-420.
28. MarkhamJW (1967). The clinical features of pneu-mocephalus based upon a survey of 284cases with a report of 11 additional cases. Acta Neurochir. (Wien), (16), 159
29. RamsdenRТ, BlockJ (1976). Traumatic pneumo-cephalus. J. Laryngol. Otol., (90), 520.
30. SuwanwelaC, AlexanderE, DavisCH (1962). Extradural aerocele. J. Nenrosurg., (19),404
31. SteudelWL, HackerH (1986). Prognosis, inci-dence and management of acute traumatic intracranial pneumocephalus. A retrospective analysis of 49 cases. Acta Neurochir., 80(3-4), 93-99.
32. TerracolJ, AubryM (1964). Les maladies des cavites annexes des fosses nasales, 697
33. TunkelAR, HartmanBJ, KaplanSL (2004). Prac-tice guidelines for management of bacterial meningitis. Clin. Infect. Dis., (39), 1267-1284
