Esophageal-subarachnoid fistula: A case of spontaneous tension pneumocephalus in the setting of esophageal cancer

Patel, Mihir R.; Idicula, Winslo; Carrau, Ricardo L.; Prevedello, Daniel M.

doi:10.1002/hed.23459

Cited by 3 publications

(2 citation statements)

References 24 publications

(26 reference statements)

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“…Furthermore, tension pneumocephalus can occur spontaneously as a result of treating dopaminergic agents with cabergoline [47,48]. The main symptoms include headache, rhinorrhoea (presumably CSF), and confusion [45][46][47][48][49]. Interestingly, Torres et al described a patient with stiffness in their thigh muscles and perineal areas as a result of gas collection in the subdural layer of the sacral nerve root [50].…”

Section: Pneumocephalus Associated With Tumoursmentioning

confidence: 99%

Pneumocephalus as a rare complication: a systematic review plus clinical vignette

Śmiłowska

Sznajder-Stacha

Kocyłowski

et al. 2021

Neurol Neurochir Pol.

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Introduction. Pneumocephalus is a clinical entity characterised by the presence of gas in the intracranial space. It can result from many different causes. The most common cause is head or facial trauma. Other causes include neoplasms, infections, and surgical or diagnostic procedures. Spontaneous non-traumatic pneumocephalus is a rare condition caused by bone defects, malformations, infections, tumours, intravenous air injection, and other causes. This review, supplemented with a case presentation, aims to summarise the current state of knowledge regarding non-traumatic pneumocephalus.Methodology. This review involved an electronic search (PubMed, Scopus, Embase, and Web of Science) to identify studies regarding non-traumatic pneumocephalus. In addition, reference lists of identified articles were screened for other potentially relevant papers.Results. In total, 1,107 articles were retrieved by searching databases with the selected query. Based on the selection process, 134 articles were included. These articles were then classified into 'otogenic' , 'bone defect' , 'malformations' , 'infectious' , 'tumours' , 'associated with intravenous air injection' , and other categories. Conclusion.Spontaneous non-traumatic pneumocephalus is a rare condition. Symptoms, clinical courses, and prognoses vary depending on the underlying cause of the disease. To the best of our knowledge, this review's example is the first case report of spontaneous pneumocephalus due to air embolism secondary to lung cancer.

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Section: Pneumocephalus Associated With Tumoursmentioning

confidence: 99%

Pneumocephalus as a rare complication: a systematic review plus clinical vignette

Śmiłowska

Sznajder-Stacha

Kocyłowski

et al. 2021

Neurol Neurochir Pol.

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“…However, sometimes this is not obvious. Other authors have used fluorescein, indigo carmine, CT myelography, radionuclide cisternography and MRI scan in order to find the cause of pneumocephalus [9]. With CT myelography appearing to be the gold standard for investigation [10,11].…”

Section: Managementmentioning

confidence: 99%

A rare presentation of headache and runny nose: A case of pneumocephalus

Hooper¹,

Moss²,

Abosaif³

2016

IJCRI

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International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations. IJCRI publishes ABSTRACTA 67-year-old female was presented with severe headache and runny nose. She was referred to the acute medical unit as her blood pressure was 213/94 mmHg and a computed tomography scan of her head was booked to rule out subarachnoid haemorrhage (SAH). She was found to have a rare condition which necessitated referral to the neurosurgical unit for further investigations and treatment. She was found to have a rare disease called pneumocephalus which was extensive on her CT scan of head images. She was not as symptomatic as it was expected and patient had no history of head injury, ear or meningeal infections. She was treated for meningeal leak and was put on meningitis prophylaxis. She improved after two weeks of treatment and was kept under neurosurgical team.(This page in not part of the published article.)

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Spontaneous Pneumocephalus: A Case Report with a Literature Review

Chen

Wang

Huang

et al. 2023

The Journal of Emergency Medicine

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Esophageal-subarachnoid fistula: A case of spontaneous tension pneumocephalus in the setting of esophageal cancer

Abstract: This case illustrates the importance of considering alternative sources of pneumocephalus in the absence of more typical differential diagnosis.

Cited by 3 publications

References 24 publications

Pneumocephalus as a rare complication: a systematic review plus clinical vignette

Pneumocephalus as a rare complication: a systematic review plus clinical vignette

A rare presentation of headache and runny nose: A case of pneumocephalus

Spontaneous Pneumocephalus: A Case Report with a Literature Review

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