Air encephalography in the absence of a spaceoccupying lesion of the brain is usually a harmless but unpleasant investigation that is necessary in the differential diagnosis of organic dementias and neurological syndromes of uncertain origin. It is known that subdural effusions may follow encephalography in children (Smith and Crothers, 1950 (1949). It has been assumed that his presenting symptoms were due to a post-concussional syndrome with depressive features in the lack of any structural alteration in the nervous system at necropsy other than those due to the subdural haematoma.
DiscussionThere is general agreement that there are few complications from encephalography and that the fatality rate is about 0 2 % in a large series (Davidoff and Dyke, 1946;Whittier, 1951). Most of the deaths can be accounted for by deterioration in the presence of a previously unsuspected cerebral tumour. Many of the other deaths are when there is an organic dementia. Air embolism is an exceedingly rare complication (Whittier, 1951). It has only been possible to find one instance of subdural haematoma after encephalography in adults.Bucy (1942) reported a case of a 66-year-old man with personality changes who had a lumbar en-131