Acute confusion secondary to pneumocephalus in an elderly patient

被引：26

作者：

Chan, YP ^{[1
]}

Yau, CY ^{[1
]}

Lewis, RR ^{[1
]}

Kinirons, MT ^{[1
]}

机构：

[1] Guys & St Thomas NHS Trust, Dept Geriatr & Gen Med, Guys Hosp, London SE1 9RT, England

来源：

AGE AND AGEING | 2000年 / 29卷 / 04期

关键词：

air travel; meningitis; pneumocephalus; Valsalva manoeuvre;

D O I：

10.1093/ageing/29.4.365

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Presentation: an 83-year-old man was admitted to hospital with acute confusion 3 days after a direct flight from Australia. Outcome: computed tomography (CT) brain scan and magnetic resonance imaging head scan revealed the cause to be pneumocephalus, apparently the result of barotrauma caused by Valsalva manoeuvres when he attempted to unblock his nose during the flight. After 5 days of nursing in the vertical position the patient's Abbreviated Mental Score returned to normal. A CT brain scan 6 weeks later showed complete resolution of the pneumocephalus.

引用

页码：365 / 367

页数：3

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