Pneumocephalus: a rare and life-threatening, but reversible, complication after penetrating lumbar injury.

Gorissen, Zora; Hakvoort, Karlijn; van den Boogaart, Mark; Klinkenberg, Sylvia; Schijns, Olaf · Acta Neurochir (Wien) · 2019

case_report · Level V

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Abstract

Pneumocephalus, the presence of intracranial air, is a complication especially seen after neurotrauma or brain surgery. When it leads to a pressure gradient, a so-called tension pneumocephalus, it may require emergency surgery. Clinical symptomatology, especially in young children, does not differentiate between a pneumocephalus and a tension pneumocephalus. An additional CT scan is therefore warranted. Here, we report on a rare case of pneumocephalus after penetrating lumbar injury. Additionally, the pathophysiology of pneumocephalus, as well as its recommendations for diagnosis and treatment, will be elucidated.

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