Proper Management of Posttraumatic Tension Pneumocephalus
| Autor: | Sung Hoon Cho, Jinwon Kwon, Jaesung Han, Won Il Joo, Wonmo Gu, Hae Kwan Park, Wonjun Moon, Chung Kee Chough, Hyoung Kyun Rha |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Neurology Cerebrospinal fluid leak business.industry Stupor Head injury Tension pneumocephalus Case Report medicine.disease Surgery 03 medical and health sciences 0302 clinical medicine Pneumocephalus 030220 oncology & carcinogenesis Anesthesia medicine medicine.symptom Craniofacial Complication business Meningitis 030217 neurology & neurosurgery |
| Zdroj: | Korean Journal of Neurotrauma |
| ISSN: | 2288-2243 2234-8999 |
| Popis: | Pneumocephalus is commonly seen after craniofacial injury. The pathogenesis of pneumocephalus has been debated as to whether it was caused by ball valve effect or combined episodic increased pressure within the nasopharynx on coughing. Discontinuous exchange of air and cerebrospinal fluid due to "inverted bottle" effect is assumed to be the cause of it. Delayed tension pneumocephalus is not common, but it requires an active management in order to prevent serious complication. We represent a clinical case of a 57-year-old male patient who fell down from 3 m height, complicated by tension pneumocephalus on 5 months after trauma. We recommend a surgical intervention, but the patient did not want that so we observe the patient. The patient was underwent seizure and meningitis after 7 months after trauma, he came on emergency room on stupor mentality. Tension pneumocephalus may result in a neurologic disturbance due to continued air entrainment and it significantly the likelihood of intracranial infection caused by continued open channel. Tension pneumocephalus threat a life, so need a neurosurgical emergency surgical intervention. |
| Databáze: | OpenAIRE |
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