Traumatic Pneumocephalus Without Skull Fracture From a High-Voltage Electrical Injury.
| Autor: | Priestley KL; Emergency Medicine, Brooke Army Medical Center, Fort Sam Houston, USA., Bridwell RE; Emergency Medicine, Brooke Army Medical Center, Fort Sam Houston, USA., Beach JC; School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, USA., Simon EM; Emergency Medicine, Brooke Army Medical Center, Fort Sam Houston, USA., Britton GW; Critical Care, United States Army Institute of Surgical Research, Fort Sam Houston, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2021 Jul 28; Vol. 13 (7), pp. e16700. Date of Electronic Publication: 2021 Jul 28 (Print Publication: 2021). |
| DOI: | 10.7759/cureus.16700 |
| Abstrakt: | Pneumocephalus, the presence of intracranial air, most commonly occurs secondary to a traumatic injury. Patients with simple pneumocephalus often present with nonspecific symptoms or with headaches. These patients may have little to no clinically relevant physical examination findings and can be managed conservatively. Tension pneumocephalus can present more acutely as a neurosurgical emergency. On physical examination, patients can present with neurologic deficits or papilledema. Computed tomography is the imaging modality of choice to detect intracranial air. We present a novel case of a simple pneumocephalus in the setting of a high-voltage electrical injury without evidence of displaced skull fracture or dural violation. The identification of unanticipated air within the cranial vault should prompt emergency physicians to determine its etiology which can guide treatment and disposition. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2021, Priestley et al.) |
| Databáze: | MEDLINE |
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