Lateral skull radiograph in a patient with post-traumatic tension pneumocephalus complicated by late epilepsy

Odebode, O T; Dunmade, AD; Afolabi, OA; Suleiman, O A

doi:10.1136/emj.2007.046656

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2020

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“…Traumatic pneumocephalus rarely progresses to tension pneumocephalus, which is accompanied by neurological deterioration and should be considered a neurosurgical emergency (1)(2)(3). Pneumocephalus is primarily diagnosed on brain CT and is rarely observed on skull X-ray (4). In this case, skull X-ray was performed in the erect position at another hospital, which showed presence of intracranial air in the parietal region.…”

Section: Discussionmentioning

confidence: 82%

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Migration of intracranial air according to position change in post-traumatic pneumocephalus: erect and supine skull X-ray views

Park

Ahn

Kang

et al. 2020

Trauma Image Proced

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Pneumocephalus is often detected in patients with trauma. However, it is difficult to find studies on position change of intracranial air according to the patient position observed on skull X-rays (erect and supine views). This is because skull X-rays are rarely performed in erect position for patients with head injury. We report a case of location change of intracranial air associated with patient position change observed in the skull X-ray of a patient with traumatic pneumocephalus. To the best of our knowledge, no such cases have previously been reported in English literature.

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Section: Discussionmentioning

confidence: 82%

“…When intracranial air causes intracranial hypertension, it leads to tension pneumocephalus, which results in mass effect with neurological deterioration (1)(2)(3). Pneumocephalus is generally diagnosed on brain computed tomography (CT) but is rarely identified on skull X-ray, as observed in this case (4).…”

Section: Introductionmentioning

confidence: 84%