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The Laryngoscope Mar 1980
Topics: Adult; Anti-Bacterial Agents; Cerebrospinal Fluid Rhinorrhea; Craniocerebral Trauma; Female; Humans; Pneumocephalus; Radiography; Sphenoid Sinus; Wounds, Gunshot
PubMed: 7359973
DOI: 10.1002/lary.5540900320 -
Ryoikibetsu Shokogun Shirizu 2000
Review
Topics: Epidural Space; Humans; Pneumocephalus; Prognosis; Tomography, X-Ray Computed
PubMed: 11057300
DOI: No ID Found -
Lin Chuang Er Bi Yan Hou Ke Za Zhi =... Feb 1998
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La Revue Du Praticien Mar 2014
Topics: Adult; Brain Injuries; Humans; Male; Pneumocephalus; Young Adult
PubMed: 24851360
DOI: No ID Found -
BMJ Case Reports Jan 2021
Topics: Adult; Anesthesia, Spinal; Female; Humans; Hysterectomy; Intracranial Hypotension; Pneumocephalus
PubMed: 33419756
DOI: 10.1136/bcr-2020-239750 -
Anaesthesia and Intensive Care Apr 1999
Topics: Adult; Craniocerebral Trauma; Humans; Male; Pneumocephalus; Respiration, Artificial; Resuscitation; Tomography, X-Ray Computed
PubMed: 10212731
DOI: No ID Found -
Otology & Neurotology : Official... Jan 2024
Topics: Humans; Pneumocephalus; Air Travel; Mastoid; Ear, Middle
PubMed: 38085769
DOI: 10.1097/MAO.0000000000004054 -
Neurologia I Neurochirurgia Polska 2005Pneumocephalus in hydrocephalic shunted patients is very rare. So far only 46 cases have been described in the literature. A case of pneumocephalus in a patient with... (Review)
Review
Pneumocephalus in hydrocephalic shunted patients is very rare. So far only 46 cases have been described in the literature. A case of pneumocephalus in a patient with shunted hydrocephalus, and the diagnostic and therapeutic problems were described. A 38-year-old woman suffered from a subacute headache, dizziness and bradyphrenia. Eight years ago, the ventriculo-atrial shunt was implanted due to idiopathic hydrocephalus, and the shunt was changed 2 months before the present admission (ventriculo-peritoneal valve). CT and MRI revealed pneumocephalus, but neither clinical nor radiological symptoms of the CSF fistula were found. After temporary ligation of a distal catheter, the anterior fossa and a sellar area were directly repaired via right fronto-temporal craniotomy, with a good outcome. In the case of pneumocephalus in hydrocephalic shunted patients, the direct closure of the skull base fistula via craniotomy combined with restoration of the proper shunt function is usually the most effective treatment. If the site of the fistula can not be established, dural cranioplasty in the most likely site of the fistula is recommended.
Topics: Adult; Craniotomy; Female; Fistula; Humans; Hydrocephalus; Intracranial Hypertension; Magnetic Resonance Imaging; Pneumocephalus; Tomography, X-Ray Computed; Ventriculoperitoneal Shunt
PubMed: 16355312
DOI: No ID Found -
The Journal of International Medical... Jan 2022Tension pneumocephalus (TP) can be a life-threatening postoperative complication, but there are limited data owing to its exceedingly low frequency. A 48-year-old man...
Tension pneumocephalus (TP) can be a life-threatening postoperative complication, but there are limited data owing to its exceedingly low frequency. A 48-year-old man that suffered a head injury survived the acute phase and cranioplasty was performed using a titanium plate. Progressive deterioration of consciousness occurred the day after the cranioplasty. Computed tomography showed the presence of expanded air in the left epidural cavity and a midline shift to the right side. Emergency skin flap reopening was performed. Tension of the scalp decreased when the skin suture was cut and the wound reopened. Lucidity and improved right hemiparesis were obtained within a few hours after drain insertion. Pooled air in the left epidural cavity gradually dissipated postoperatively and the epidural drain was removed 2 days after insertion. The patient was discharged 27 days after cranioplasty, with a modified Rankin scale score of 2. The mechanism that caused TP was considered. Specifically, the skin flap acted as a one-way valve and trapped air. Then the trapped air expanded as the patient's body temperature warmed. TP should be considered a differential diagnosis after craniotomy. Emergency skin flap reopening and drain insertion may be an effective treatment for TP in the epidural space.
Topics: Craniotomy; Humans; Male; Middle Aged; Pneumocephalus; Skull; Surgical Flaps; Titanium
PubMed: 35086389
DOI: 10.1177/03000605221076032 -
The American Journal of Medicine Oct 2019
Topics: Adult; Fistula; Humans; Magnetic Resonance Imaging; Male; Mastoid; Pneumocephalus; Scalp; Tomography, X-Ray Computed
PubMed: 30998913
DOI: 10.1016/j.amjmed.2019.03.033