TY - JOUR
T1 - Pneumocephalus
T2 - a rare and life-threatening, but reversible, complication after penetrating lumbar injury
AU - Gorissen, Zora
AU - Hakvoort, Karlijn
AU - van den Boogaart, Mark
AU - Klinkenberg, Sylvia
AU - Schijns, Olaf
N1 - Publisher Copyright:
© 2019, The Author(s).
PY - 2019/2
Y1 - 2019/2
N2 - 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.
AB - 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.
KW - Pneumocephalus
KW - Tension pneumocephalus
KW - Spinal trauma
KW - Pediatric patients
KW - DIFFUSE PNEUMOCEPHALUS
KW - TENSION PNEUMOCEPHALUS
KW - SURGERY
U2 - 10.1007/s00701-018-03796-y
DO - 10.1007/s00701-018-03796-y
M3 - Article
C2 - 30652201
SN - 0001-6268
VL - 161
SP - 361
EP - 365
JO - Acta Neurochirurgica
JF - Acta Neurochirurgica
IS - 2
ER -