Post-traumatic pneumocephalus

Aguilar-Shea, Antonio L.; Mañas-Gallardo, Norberto; Romero-Pisonero, Elena

doi:10.1007/s12245-009-0108-9

Cited by 11 publications

(9 citation statements)

References 5 publications

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“…Pneumocephalus is usually induced by a variety of causes including traumatic head injuries [5] , [6] , gas forming bacteria leading to infection [7] , [8] , brain or skull-based tumors and cranial surgeries [9] , alongside the iatrogenic and idiopathic etiologies [10] , [11] , [12] . We have reviewed all reported cases of pneumocephalus occurring after spinal surgeries and most of them were after laminectomies, rod displacements, or discectomies as in our case.…”

Section: Discussionmentioning

confidence: 99%

“…paranasal sinus surgeries) and diagnostic interventions (e.g. pneumoencephalography or lumbar puncture) [5] , [6] , [7] , [8] , [9] , [10] , [11] , [12] . Although spinal surgeries (e.g., lumbar decompression for degenerative spinal pathology) can be followed by several complications that are inevitable, pneumocephalus is just rarely reported as one of them [13] , [14] .…”

Section: Introductionmentioning

confidence: 99%

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Pneumocephalus secondary to a spinal surgery: A literature review and a case report

Abu-Hamdiyah

Sharie

Awadi

et al. 2021

International Journal of Surgery Case Reports

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Introduction We report a case of pneumocephalus, which is identified as the presence of air in the cranial cavity and is a rare complication after spinal surgeries, in addition to a literature review of similarly reported cases. Case presentation The patient is a 63-year-old male who developed pneumocephalus after undergoing a minimally invasive left side decompression at L3-L4 with left L4 foraminotomy even though there were no signs of dural tears or Cerebrospinal Fluid (CSF) leaks. After the diagnosis of pneumocephalus using brain Magnetic Resonance Imaging (MRI), the patient was treated conservatively and was discharged after 3 weeks without developing further complications. Discussion Pneumocephalus is defined as an abnormal accumulation of air within the cranial cavity. It can occur due to a variety of causes but rarely due to gas forming bacteria. Many theories are suggested concerning the pathophysiology of pneumocephalus, the inverted bottle theory, the ball valve theory, the Nitrous Oxide (N 2 O) theory, and as we outweigh in our case, gas forming bacteria theory. Pneumocephalus can be treated surgically, nevertheless, conservative management methods of such cases are usually followed. Conclusion The aim of this study is to draw further attention to the management and diagnosis of such surgical complication. A more extended research is needed to provide a full comprehensive approach to deal with this problem if faced in the future. To the best of our knowledge, this study reports the first pneumocephalus case induced by a postoperative bacterial infection in the global English based medical literature.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Pneumocephalus secondary to a spinal surgery: A literature review and a case report

Abu-Hamdiyah

Sharie

Awadi

et al. 2021

International Journal of Surgery Case Reports

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“…Most cases of post‐traumatic pneumocephalus resolve spontaneously and can be managed with conservative treatment 8 . Non‐operative treatments 4 , 5 , 6 include high‐concentration oxygen therapy, bed rest with head of the bed elevated, avoidance of Valsalva maneuver, analgesics, prophylactic antibiotics and frequent review. Surgical intervention should be considered in patients with recurrent pneumocephalus, signs of increasing intracranial pressure suggestive of tension pneumocephalus, or persistent cerebrospinal fluid leak 4 …”

Section: Discussionmentioning

confidence: 99%

A teenager with head injury

Wong¹,

Hui²,

Wong³

et al. 2018

Hong Kong Journal of Emergency Medicine

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“…Após 48 horas apresentou piora do quadro neurológico, com cefaleia intensa, vômitos e diminuição do nível de consciência, sendo o ECG de 13. Submetido a nova TC de crânio que demonstrou Introdução Pneumoencéfalo é uma coleção de ar na cavidade craniana 1,7 . A maioria dos casos é benigno, assintomático e apresenta resolução espontânea 14 .…”

Section: Relato De Casounclassified

Pneumoencéfalo Hipertensivo Secundário a Traumatismo Penetrante da Região Orbitária

Teixeira¹,

Pereira²

2018

jbnc

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RESUMOO pneumoencéfalo geralmente é decorrente de lesão traumática craniofacial. Quando é decorrente de lesão penetrante na região da órbita, tem sido considerado raro. O pneumoencéfalo hipertensivo é considerado uma emergência neurocirúrgica. Os autores relatam um caso de pneumoencéfalo hipertensivo em um paciente vitima de acidente doméstico por chave de fenda na região orbitária direita. Foram discutidos a fisiopatologia, o tratamento e o prognóstico. Palavra-Chave: Pneumoencéfalo hipertensivo; Traumatismo craniofacial; Fístula liquórica; Hipertensão intracranianaABSTRACT Pneumocephalus is usually due to craniofacial traumatic injury. When resulting from penetrating injury to the orbital region, it has been considered as rare. Tension pneumocephalus is considered a neurosurgical emergency. The authors report a case of tension pneumocephalus in a patient victim of domestic accident by screwdriver on the right orbital region. Its pathophysiology, treatment and prognosis were discussed.

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Post-traumatic pneumocephalus

Cited by 11 publications

References 5 publications

Pneumocephalus secondary to a spinal surgery: A literature review and a case report

Pneumocephalus secondary to a spinal surgery: A literature review and a case report

A teenager with head injury

Pneumoencéfalo Hipertensivo Secundário a Traumatismo Penetrante da Região Orbitária

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