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CJEM Aug 2022
Topics: Elevators and Escalators; Headache; Humans; North America; Pneumocephalus; Tomography, X-Ray Computed
PubMed: 35543925
DOI: 10.1007/s43678-022-00316-x -
British Journal of Neurosurgery Apr 2001Delayed pneumocephalus is a very rare complication of CSF shunt systems with only 37 cases so far reported. We report three additional cases with different mechanisms of... (Review)
Review
Delayed pneumocephalus is a very rare complication of CSF shunt systems with only 37 cases so far reported. We report three additional cases with different mechanisms of production, clinical presentations and managements. While the first patient was treated with closure of the site of air entrance and shunt externalization, in the second case, modification of the shunt was enough to solve the pneumocephalus, even when a skull base fistula was suspected. The third one died during treatment from complications. The literature is reviewed with respect to the aetiology, clinical presentation, radiological findings and management of this problem.
Topics: Adolescent; Female; Humans; Middle Aged; Pneumocephalus; Reoperation; Time Factors; Tomography, X-Ray Computed; Ventriculoperitoneal Shunt
PubMed: 11360384
DOI: 10.1080/02688690151127482 -
Neurology India 2020
Topics: Decompressive Craniectomy; Humans; Pneumocephalus; Postoperative Complications; Skull; Surgical Flaps; Syndrome
PubMed: 33342902
DOI: 10.4103/0028-3886.304089 -
The Journal of Trauma Nov 2009
Review
Topics: Adolescent; Back Injuries; Emphysema; Humans; Male; Pneumocephalus; Spinal Canal; Spinal Diseases; Tomography, X-Ray Computed; Wounds, Stab
PubMed: 19901641
DOI: 10.1097/TA.0b013e31805dacaf -
The Annals of Otology, Rhinology, and... Apr 1995
Review
Topics: Ethmoid Bone; Humans; Male; Middle Aged; Nasal Polyps; Pneumocephalus; Postoperative Complications; Tomography, X-Ray Computed
PubMed: 7717627
DOI: 10.1177/000348949510400414 -
British Journal of Neurosurgery Jun 1997A 53-year-old man presented with pneumocephalus following a thoracic vertebral fracture. Computed tomography (CT) myelography revealed a leakage of contrast medium from... (Review)
Review
A 53-year-old man presented with pneumocephalus following a thoracic vertebral fracture. Computed tomography (CT) myelography revealed a leakage of contrast medium from the thecal sac in the vicinity of the vertebral fracture and was used to confirm the origin of a subarachnoid-pleural fistula.
Topics: Humans; Male; Middle Aged; Pneumocephalus; Spinal Fractures; Thoracic Vertebrae; Tomography, X-Ray Computed
PubMed: 9231018
DOI: 10.1080/02688699746366 -
British Journal of Neurosurgery 1988We report a case of tension pneumocephalus following the insertion of a ventriculoperitoneal shunt for hydrocephalus secondary to aqueduct stenosis and discuss the... (Review)
Review
We report a case of tension pneumocephalus following the insertion of a ventriculoperitoneal shunt for hydrocephalus secondary to aqueduct stenosis and discuss the possible genesis of the complication, diagnosis and treatment.
Topics: Cerebrospinal Fluid Shunts; Female; Humans; Middle Aged; Pneumocephalus; Radiography
PubMed: 3077046
DOI: 10.3109/02688698808992679 -
Clinical and Experimental Dental... Jun 2022A subcutaneous emphysema is an infrequent but potentially life-threatening complication after dental treatment involving instruments functioning with pressurized air....
BACKGROUND
A subcutaneous emphysema is an infrequent but potentially life-threatening complication after dental treatment involving instruments functioning with pressurized air. Emphysemata after the use of high-speed handpieces and air-syringes are well documented, however, more recently several reports on emphysemata produced by air-polishing devices during management of peri-implant biological complications have appeared. To the best of our knowledge, direct development of pneumocephalus after a dental procedure has never been reported before. Introduction of air likely contaminated with oral bacteria to the intracranial space bares the risk of developing meningitis.
CASE PRESENTATION
This case report describes the spreading of a subcutaneous emphysema into the intracranial space (i.e., development of a pneumocephalus) after treatment of a peri-implantitis lesion with an air-polishing device equipped with the nozzle for submucosal debridement. A subcutaneous emphysema was noticed during the use of an air-polishing device and the subsequent computed tomography (CT) examination revealed a quite unexpected spreading of the emphysema into the intracranial space. The patient was admitted to the hospital for close surveillance, CT follow-up, and intravenous antibiotics to prevent the development of meningitis due to the introduction of air-likely contaminated with oral bacteria-into the intracranial space. After 3 days, the patient was discharged in good condition without any further complications.
CONCLUSION
In case of an extensive subcutaneous emphysema as result of a dental procedure, a more extended radiographic examination including the mediastinal and cranial space should be considered, to assess the risk for potentially life-threatening complications.
Topics: Debridement; Humans; Peri-Implantitis; Pneumocephalus; Subcutaneous Emphysema; Tomography, X-Ray Computed
PubMed: 35502527
DOI: 10.1002/cre2.578 -
Journal of the American Veterinary... May 2015
Topics: Animals; Dog Diseases; Dogs; Female; Pneumocephalus; Postoperative Complications
PubMed: 25875664
DOI: 10.2460/javma.246.9.959 -
Annals of Emergency Medicine Jan 1992A 75-year-old woman with a previous repair of a cribiform plate fracture was nasotracheally intubated following a suicide attempt. Twenty-one days later she was...
A 75-year-old woman with a previous repair of a cribiform plate fracture was nasotracheally intubated following a suicide attempt. Twenty-one days later she was readmitted to the hospital with a massive pneumocephalus, followed by a terminal intracranial hemorrhage. Nasotracheal intubation as a contributing factor in the development of pneumocephalus is previously unreported.
Topics: Aged; Cerebral Hemorrhage; Drug Overdose; Female; Humans; Intubation, Intratracheal; Nose; Pneumocephalus; Poisoning; Suicide, Attempted; Temazepam; Tomography, X-Ray Computed
PubMed: 1539877
DOI: 10.1016/s0196-0644(05)82251-6