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.
“…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.…”
A 20-year-old male presented with an extremely rare spontaneous epidural pneumocephalus which was successfully treated by a single neurosurgical intervention. The patient had a habit of nose blowing and a 1-year history of progressive headache and nausea. Cranial computed tomography (CT) revealed a 2 × 7 cm right temporo-occipital epidural pneumocephalus with extensive hyperpneumatization of the mastoid cells. Right temporo-occipital craniotomy with a right superficial temporal artery and vein flap repair resulted in radiographic resolution of the pneumocephalus, and he remained neurologically free of symptoms at 1-year follow-up examination. Early identification and monitoring of symptomatic pneumocephalus followed by decompression and prevention of infection via closure of the bone defect can avoid possible serious consequences. The underlying mechanisms may involve a congenital petrous bone defect and a ball-valve effect due to excessive nose blowing in our case.
“…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.…”
A 20-year-old male presented with an extremely rare spontaneous epidural pneumocephalus which was successfully treated by a single neurosurgical intervention. The patient had a habit of nose blowing and a 1-year history of progressive headache and nausea. Cranial computed tomography (CT) revealed a 2 × 7 cm right temporo-occipital epidural pneumocephalus with extensive hyperpneumatization of the mastoid cells. Right temporo-occipital craniotomy with a right superficial temporal artery and vein flap repair resulted in radiographic resolution of the pneumocephalus, and he remained neurologically free of symptoms at 1-year follow-up examination. Early identification and monitoring of symptomatic pneumocephalus followed by decompression and prevention of infection via closure of the bone defect can avoid possible serious consequences. The underlying mechanisms may involve a congenital petrous bone defect and a ball-valve effect due to excessive nose blowing in our case.
“…(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.…”
“…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].…”
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