Pneumocephalus

Apostolakos, Diane; Roistacher, Kenneth

doi:10.4065/82.11.1305

Cited by 7 publications

(4 citation statements)

References 1 publication

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“…Some reports (7-10) have shown pneumococcal meningitis concomi-tant with pneumocephalus. In these report there were patients with mastoiditis (7,8) or sinusitis (9,10). In the present case, there was no mastoiditis, but rather he had sinusitis in the sphenoid sinus.…”

Section: Discussionmentioning

confidence: 45%

An Adult Case of Pneumocephalus and Pneumococcal Meningitis Associated with the Sphenoid Sinusitis

et al. 2012

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A 60-year-old man was admitted to our hospital after being found at his home in a comatose state. Cerebrospinal fluid and blood cultures were positive for Streptococcus pneumoniae. Brain magnetic resonance imaging (MRI) revealed sinusitis in the sphenoid sinus. Computed tomography demonstrated the presence of multiple air pockets in the basilar cistern, and we diagnosed pneumococcal meningitis complicated with pneumocephalus. Multiple cerebral infarctions were found on brain MRI after admission. In this case, pneumocephalus was secondary to pneumococcal meningitis due to sinusitis on admission, and multiple cerebral infarctions after admission. We demonstrated that early diagnosis is required for the successful treatment of pneumococcal meningitis.

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Section: Discussionmentioning

confidence: 45%

An Adult Case of Pneumocephalus and Pneumococcal Meningitis Associated with the Sphenoid Sinusitis

et al. 2012

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“…In our review of the literature [Table 1], we found a total of 8 cases of pneumocephalus in the setting of sinusitis. [3-10] Two cases were reported before the era of antibiotics and imaging. [3,4] In both cases, chronic CSF rhinorrhea suggested significant osseous erosion by the time of presentation, and both patients died from their intracranial complications.…”

Section: Discussionmentioning

confidence: 99%

Pneumocephalus as a Rare Presentation of Acute Sinusitis with Intracranial Extension – Two Cases and a Review of Literature

Sun

Chiang

2019

JCIS

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Pneumocephalus is a rare presentation of sinusitis. The purpose of this case series and literature review is to highlight the critical importance of recognizing pneumocephalus on initial brain imaging, since it may serve as the first sign of acute sinusitis with intracranial complication. Although sinusitis is a treatable condition with appropriate and timely antibiotic therapy, failure to recognize intracranial extension and delays to prompt surgical drainage could lead to a dire clinical course.

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“…Bulgularımız pnömosefalusun daha çok erkeklerde ve % 67 ila % 74 oranda en sık kafa travması ve eşlik eden kafa tabanı kemik fraktürleri veya ateşli silah yaralanması varlığında geliştiğine yönelik önceki çalışma bulgularıyla uyumludur (1,2,7,10,11). Ayrıca üç farklı zaman diliminde yapılan BBT değerlendirme bulgularımız, pnömosefalinin epidural, subdural, subaraknoid, parankimal, ventriküler veya vasküler yerleşimli olabileceği ve nadiren birden fazla kompartmanda hava saptanabileceği ve erken dönem BBT incelemesinin pnömosefali saptanma olasılığında artışı sağlayacağı yönündeki raporları (2).…”

Section: Discussionunclassified

“…Pnömosefalus genel olarak kafa travması, kulak infeksiyonları, kafa kaidesi tümörleri, ventrikülo-atrial-plevral-peritoneal şantlar, radyoterapi, nöroşürirji uygulamaları veya nitrözoksit anestezisi sonucu gelişen kraniyal kavite içinde hava veya gaz bulunması durumu olup, nadiren spontan olarak da oluşabilmektedir (1)(2)(3).…”

Section: Introductionunclassified

Travmatik pnömosefalus olgularında konservatif tedavi sonuçlarının hasta profili, etiyoloji, klinik ve radyolojik bulgular ve risk faktörleri ışığında değerlendirilmesi

Yücetaş¹,

Üçler²,

Kafadar³

et al. 2019

Adıyaman Üniversitesi Sağlık Bilimleri Dergisi

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Objective: To evaluate outcome of conservative treatment in traumatic pneumocephalus in terms of patient profile, etiology, clinical and radiological findings and risk factors Material and Method: A total of 73 patients (median age, 32(2-80) years, 78.1% were males) with traumatic pneumocephalus after head trauma and medical treatment were included. Data on patient demographics, trauma types, concomitant hemorrhage and fractures, risk factors (otorrhea and/or rhinorrhea, seizure and meningitis development), three consesutive (0-24 h, 1-3 day, 3-20 day) brain computerized tomography (CT) findings (intracranial location of pnuemocephalus, absorption time) and concomitantly assessed GCS scores were determined. Length of hospital stay (LOS) and treatment outcome (discharge, discharge with neurological sequela and death) were recorded. Results: Traffic accident (38.3%) and falls (35.6%) were the most common reasons, while rates for seizure, otorrhea/rinorrhea and meningitis were 8.4%, 29.4% and 13.7%, respectively. Total recovery was noted in 58(79.5%) patients, discharge with neurological sequela in 7(9.6%) and death in 8(10.8%) patients. GCS scores differed significantly with respect to location of pneumocephalus (p<0.001, p<0.05 and p<0.001, respectively). In patients with meningitis concomitant otorhhea/rhinorrhea was prevalant (30-40%), while LOS (mean±SD 11.88±6.35 vs. 7.01±3.50 days, p<0.01) and mortality rates (20 vs. 9.5%, p<0.01) were significantly higher than those without meningitis. Conclusion:In conclusion, our findings revealed the likelihood of full recovery with implementation of timely and approriate conservative treatment in traumatic pneumocephalus, while emphasize the role of repeated CT imaging along with concomitant neurological assessment in provision of the appropirate treatment in accordance with the clinical course.

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Pneumocephalus

Cited by 7 publications

References 1 publication

An Adult Case of Pneumocephalus and Pneumococcal Meningitis Associated with the Sphenoid Sinusitis

An Adult Case of Pneumocephalus and Pneumococcal Meningitis Associated with the Sphenoid Sinusitis

Pneumocephalus as a Rare Presentation of Acute Sinusitis with Intracranial Extension – Two Cases and a Review of Literature

Travmatik pnömosefalus olgularında konservatif tedavi sonuçlarının hasta profili, etiyoloji, klinik ve radyolojik bulgular ve risk faktörleri ışığında değerlendirilmesi

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