Pneumocephalus associated with fracture of thoracic spine: case report

Abstract

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.

Pneumocephalus Following Combined Spinal Epidural Anaesthesia for Total Knee Arthroplasty: A Case Report

“…Pneumocephalus is defined as presence of air or gas within the cranial cavity. The most common cause for pneumocephalus is trauma 1 . Other causes have been reported such as barotrauma, spinal surgery, instrumentations and in rare cases of infections.…”

“…Lumbar epidural anaesthesia is a common technique used during lower limb surgery. Loss of resistance to air (LORA) technique is widely used for identification of epidural space with several complications reported such as pneumocephalus 1 , 2 , subcutaneous emphysema 3 , venous air embolism 4 , and spinal cord and nerve root compression 5 . We report an unusual case of pneumocephalus following epidural anaesthesia in a patient who underwent total knee arthroplasty.…”

Delayed pneumocephalus induced by repeated percutaneous aspiration after spinal surgery

“…Pneumocephalus of spinal origin may be associated with fractures caused by spinal trauma, [12] operative injury [3,4,7,8,10] Table 1, tumors, application of H 2 O 2 , [1,2] increased intraabdominal pressure, [6] or some diagnostic and therapeutic procedures, such as a lumbar puncture. Iatrogenic pneumocephalus [1][2][3][4]7,8,10,11] are not rare during spinal operation.…”