Clinical significance of acute traumatic intracranial pneumocephalus.

Autor: Keskil, Semih, Baykaner, Kemali, Çeviker, Necdet, Işik, Sedat, Çengel, Mustafa, Orbay, Toygun
Zdroj: Neurosurgical Review; Mar1998, Vol. 21 Issue 1, p10-13, 4p
Abstrakt: Among 1142 patients with head injuries hospitalized in the Neurosurgery Department of Gazi University Medical School during the period between 1979 and 1992, 583 had initial CT scans. A retrospective analysis of these initial CT images revealed intracranial air on admission in only 21 cases. These were classified as acute traumatic intracranial pneumocephalus: a potentially serious complication of head injury. CT scans were re-evaluated so as to reveal whether air was situated in the epidural, subdural, or subarachnoid spaces or intracerebrally; whether associated space-occupying lesions were present; and whether the air bubbles were single or multiple. Clinical data such as the presence of persistant rhinorrhea and/or otorrhea, tension pneumocephalus, severity and type of trauma, and outcome were also assessed to determine the significance of this rare finding. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index