Intracranial air after injury to the cervical spine: brief report

O'Doherty, DP; Ferris, B D

doi:10.1302/0301-620x.70b3.3372579

Cited by 3 publications

(2 citation statements)

References 3 publications

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“…Other intracranial causes of pneumocephalus include tumors, infections (meningitis and abscess), CSF fistula, N2O anesthesia, and cranial surgery 5,7,8,14,18) . Spinal causes of pneumocephalus include spinal trauma, tumor, infection, spinal procedures, and dural injury during spinal operation 1,3,10,11,13,16,17) . In review of the literature, there were 2 reports of symptomatic pneumocephalus secondary to iatrogenic dura tear and CSF leakage during spinal surgery 13,16) .…”

Section: Discussionmentioning

confidence: 99%

“…It usually occurs when fractures of temporal bone air cells or paranasal sinuses tear the adjacent dura 6,8) . Other rare causes of pneumocephalus include traumatic or iatrogenic spinal dura tear 11,13,16,17) . Due to recent advances in instrumentation of spinal surgery, dural tears are inevitable and surgeons are faced with increasing numbers of cerebrospinal fluid (CSF) leaks.…”

Section: Introductionmentioning

confidence: 99%

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Diffuse Pneumocephalus : A Rare Complication of Spinal Surgery

Yun

Kim

Yoo

et al. 2010

J Korean Neurosurg Soc

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J Korean Neurosurg Soc 48 : [288][289][290] 2010 The common etiologies of pneumocephalus, presence of air in the intracranial cavity, are trauma and cranial surgery. Pneumocephalus after spinal surgery is an unusual postoperative complication. We report the case of a male 59-year-old man who developed a pneumacephalus after posterior lumbar surgery for spinal stenosis. Intraoperatively, a cerebrospinal fluid leak following a dural tear was noted and immediately repaired. The next day, the patient complained of headache and dizziness. Head and lumbar computed tomography scans revealed significant air in the frontal region, several cisterns, intraventricle, and extra-dural area in the spine canal. Symptoms were spontaneously resolved within 2 weeks with conservative management.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Diffuse Pneumocephalus : A Rare Complication of Spinal Surgery

Yun

Kim

Yoo

et al. 2010

J Korean Neurosurg Soc

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Pneumocephalus associated with fracture of thoracic spine: case report

Uemura

1997

British Journal of Neurosurgery

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Viridans Streptococcal Meningitis Following Penetrating Cervical Injury

Cantey¹

2011

Pediatric Emergency Care

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Viridans streptococcal meningitis is a rare occurrence, usually as a result of iatrogenic invasion of the dural space or significant immunosuppression. We report a case of an otherwise healthy child who had Streptococcus salivarius meningitis as a result of lacerations to the posterior neck after a fall onto a drinking glass. Despite being well appearing on initial presentation, our patient had pneumocephalus on head computed tomography that was not initially recognized. He was discharged from the emergency department and subsequently returned within 24 hours with meningismus. This case highlights the increased risk of meningitis in patients with cerebrospinal fluid leak and the importance of radiographic signs that suggest a traumatic fistula may have occurred. To our knowledge, this is the first case of viridians streptococcal meningitis after penetrating trauma to the neck.

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Intracranial air after injury to the cervical spine: brief report

Cited by 3 publications

References 3 publications

Diffuse Pneumocephalus : A Rare Complication of Spinal Surgery

Diffuse Pneumocephalus : A Rare Complication of Spinal Surgery

Pneumocephalus associated with fracture of thoracic spine: case report

Viridans Streptococcal Meningitis Following Penetrating Cervical Injury

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