1998
DOI: 10.1097/00006123-199806000-00123
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Spontaneous Chronic Epidural Pneumocephalus Resulting from Hyperpneumatization of the Cranium Causing Mass Effect: Case Report

Abstract: The incidence of hyperpneumatization of the cranium seems to be very low. Hyperpneumatization when present, however, can cause spontaneous intracranial pneumocephalus. Based on the literature and the success of this case, the optimal management is surgical obliteration of the involved air cells.

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Cited by 29 publications
(42 citation statements)
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“…However, treatment of spontaneous pneumocephalus in general is managed surgically with the primary goals of decompression and prevention of infection via closure of the bone defect and fistula using autologous materials, such as cartilage, free fascia, temporal muscle flap, or bone powder combined with bone. 6,7,13,18,22) In addition, patient education can possibly contribute to reducing recurrence, as in our patient who was advised to give up his habit of frequent nose blowing.…”
Section: Discussionmentioning
confidence: 86%
See 1 more Smart Citation
“…However, treatment of spontaneous pneumocephalus in general is managed surgically with the primary goals of decompression and prevention of infection via closure of the bone defect and fistula using autologous materials, such as cartilage, free fascia, temporal muscle flap, or bone powder combined with bone. 6,7,13,18,22) In addition, patient education can possibly contribute to reducing recurrence, as in our patient who was advised to give up his habit of frequent nose blowing.…”
Section: Discussionmentioning
confidence: 86%
“…9) Many cases of spontaneous pneumocephalus have been reported in the literature but only 9 cases were epidural in location (Table 1). 1,6,7,12,13,15,16,19) We describe a chronically symptomatic young patient with a giant spontaneous epidural pneumocephalus who was successfully treated by a single neurosurgical intervention.…”
Section: Introductionmentioning
confidence: 99%
“…(1,4,8,10,12,15,16,18,20,22,26,28,29) Symptoms: The most common presenting symptom was severe headache. Other symptoms include aural fullness, otalgia, ear crepitations.…”
Section: Discussionmentioning
confidence: 99%
“…A relation with visual auras has, to the best of our knowledge, been reported only once, notably a case of a 24-year-old man with an extradural pneumatocele who also performed Valsalva maneuvers [2]. Treatment approaches of hyperpneumatization of the calvarial bones range from a wait-and-scan policy or placement of an ear drum grommet in case of an extradural pneumocele to radical surgical treatment in case of subdural pneumocephalus [1,3].…”
Section: Discussionmentioning
confidence: 99%