Tension pneumocephalus: A case report with review of literature

被引：25
作者：
Sweni S. [1 ]
Senthilkumaran S. [1 ]
Balamurugan N. [1 ]
Thirumalaikolundusubramanian P. [2 ]
机构：
[1] Department of Emergency Medicine, Sri Gokulam Hospitals and Research Institute, Salem Tamil Nadu
[2] Department of Medicine, Chennai Medical College Hospital and Research Center, Trichy Tamil Nadu
来源：
Emergency Radiology | 2013年 / 20卷 / 6期
关键词：
Air travel; Clinical features; Complications; Fitness certificate; Inflight emergency; Mount Fuji sign; Neuroimaging; Pathogenesis; Patient safety; Pneumocephalus;
D O I：
10.1007/s10140-013-1135-7
中图分类号：
学科分类号：
摘要：
Tension Pneumocephalus (PC) was described 50 years ago. A case of pneumocephalus (PC) following cervical epidural injection in a 50-year-old male worsened by air travel and manifested as tension pneumocephalus, confirmed by advanced neuroimaging, is reported for the first time along with literature review. The patient underwent emergent frontal burr hole evacuation and air gushed under pressure. The patient recovered well and is stable during a follow-up of 12 months. Presenting features and clinical course along with Mount Fuji sign, Peaking sign, and air bubble sign observed in this case are described. Also, the importance of considering neurosurgical and spinal procedures leading to PC have to be considered by practitioners before issuing fitness certificate before air travel, as PC is likely to get transformed to tension PC and can cause an in-flight emergency. © 2013 Am Soc Emergency Radiol.
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页码：573 / 578
页数：5
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