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2.1
Traumatic Pneumocephalus
Intracranial Aerocele

Presentation

We have noted that headache was the most common, but not universally present, presenting symptom of TP (44% of cases). [ijciis.org]

The present case is unique as it was treated with minimally invasive endoscopic method hitting the root cause of disease. It avoided the complications of extensive craniotomy. [neurologyindia.com]

The Mount Fuji sign was present indicating tension pneumocephalus (Figure 2). [imj.ie]

We would like to report a case of spontaneous traumatic pneumoencephalocele presenting with transient recurrent hemiparesis 14 months after the initial trauma. [ncbi.nlm.nih.gov]

Psychiatrical

  • Grieving

    Brand M, Goosen J, Grieve A (2009) Prophylactic antibiotics for penetrating abdominal trauma. Cochrane Database Syst Rev: CD007370. 63. Brand M, Grieve A (2013) Prophylactic antibiotics for penetrating abdominal trauma. [journals.plos.org]

    N Engl J Med 2000; Stroke 2000; 31:392–7. 342:673–80. 15 Ellamushi HE, Grieve JP, Jäger HR, Kitchen ND. Risk factors 31 Van den Berg JSP, Pals G, Arwert F, Hennekam RCM, for the formation of multiple intracranial aneurysms. [pubhtml5.com]

Neurologic

  • Frontal Headache

    He had no recollection of the event and only reported a mild frontal headache. Initial physical inspection was remarkable for signs of a base of skull or mid-face fracture. There were no other signs of injury. [imj.ie]

    Clinical presentation of tension pneumocephalus may include headache, generalized seizures, agitation, delirium, reflex abnormalities, and otherwise altered the level of consciousness, pupillary changes, and frontal lobe syndrome. [asianjns.org]

Treatment

The endoscopic skull base surgeon always harbored the fear of post procedural pneumocephalus, however, the use of same tool for its treatment has not been described earlier. [2] The entire surgical science revolves around the philosophy of "treatment [neurologyindia.com]

treatment parallel those for a CSF leak. [ijciis.org]

In this article, we describe a rare case of delayed tension pneumocephalus who underwent urgent surgical treatment. [asianjns.org]

Treatment options include puncture with a needle if there is an existing burr hole, or placement of a new burr hole. [jmedicalcasereports.biomedcentral.com]

In addition, the book's treatment algorithms provide a highly practical reference to cutting edge therapies. [books.google.de]

Prognosis

Acute intracranial pneumocephalus: prognosis and management – a retrospective analysis of 101 cases. Neurosurg Rev. 1989;12 (Suppl 1):125–136.[ PubMed ] [westjem.com]

Injuries associated with a pneumatocele or a single intracranial air bubble have a good prognosis, as do frontobasal lesions. Injuries associated with multiple air bubbles have a bad prognosis. [link.springer.com]

Treatment and prognosis Treatment depends on the cause, and in many instances, no treatment is necessary with the gas being gradually resorbed. [radiopaedia.org]

Prognosis of Severe Head and Brain Injury in Childhood.- Secondary Blood Coagulation Disturbances After Severe Brain Injury.- Clinical Double-Blind-Study on the Effects of Dexamethasone on Severe Closed Head Injuries.- The Influence of Dexamethasone [mireva.com]

Etiology

Demographics, etiology, and location of TP, site of cranial fractures, occurrences of rhinorrhea, otorrhea, and meningitis, Glasgow Coma Scale, duration of hospitalization, and other parameters related to morbidity and mortality were investigated. [ingentaconnect.com]

The other main etiological factors contributing to head injuries include alcohol consumption, assault, fall from height and workplace injuries. Patients with suspected head injury are categorized using GCS. [jmscr.igmpublication.org]

Etiology mechanical trauma (common) instrumentation, e.g. neurosurgery, external ventricular drain insertion, sinus surgery, peridural anesthesia after supratentorial craniotomy, pneumocephalus may persist in a minority of patients in the 3rd postoperative [radiopaedia.org]

In cases of trauma, this usually occurs because of an open skull fracture, or more commonly, a fracture of the paranasal sinuses or mastoid air cells (as was the etiology in this case). [radiologypics.com]

Etiology Etiopathology At least two possible mechanisms for the development of PNC are described 2). One is the effect of ball valve, where the air enters from the extracranial space through CSF leakage, which allows input but not output. [operativeneurosurgery.com]

Epidemiology

Pneumocephalus Epidemiology It is a rare but potentially serious complication of spine surgery related in most cases with inadvertent dural tear during the operation. Most collections are small, behave benign, and respond to conservative therapy. [operativeneurosurgery.com]

McGill University s Summer Program in Epidemiology and Biostatistics, I attented and completed the core 21 credits curiculum of McGill University s Diploma in Epidemiology and Biostatistics Program 0.00 / / / Research Date Description C.E. [docplayer.net]

This report although deviating from the paradigm of evidence base medicine (we are dealing with a single-centre epidemiological descriptive report with no statistical analysis performed and no precise design) nevertheless provides a demonstration of the [journals.plos.org]

On CT scanning the hae- epidemiological, clinical and radiological evidence. [pubhtml5.com]

Pathophysiology

Additional pathophysiology content helps you better understand the effects of diseases and injuries on the body’s normal physiologic processes. [books.google.com]

[…] and Hydrocephalus..- Considerations About the Pathophysiology of the So-Called Cisterno-Ventricular Reflux. [mireva.com]

2017/7/1/58/201961 Traumatic pneumocephalus, or abnormal presence of air in the cranial cavity following traumatic injury, occurs frequently. [1] Its pathophysiology involves air entry into the cranial cavity following injury to the brain meninges. [2 [ijciis.org]

This manuscript also includes a description of the diagnosis and pathophysiology of pneumocephalus. This is the first published case to describe tension pneumocephalus resulting from intracranial pressure monitoring in a non trauma patient. [anncaserep.com]

The pathophysiological mechanisms, diagnosis, and management are discussed with reference to the current literature. [intjem.springeropen.com]

Prevention

OBJECT: The purpose of this study was to compare the efficacy of the prophylactic use of ceftriaxone for the prevention of meningitis in patients with acute traumatic pneumocephalus. [ncbi.nlm.nih.gov]

Abstract BACKGROUND The purpose of this study is to compare the efficacy of prophylactic antibiotic for prevention of meningitis in acute traumatic pneumocephalus patients. [unboundmedicine.com]

Even in those patients with CSF rhinorrhea or intracranial hemorrhage, prophylactic ceftriaxone (2 grams daily) did not prove to be effective on prevention of meningitis. [trialsjournal.biomedcentral.com]

[…] of meningitis after traumatic pneumocephalus: a randomised controlled trial Acronym Study hypothesis Chemoprophylaxis with antibiotics is both feasible and desirable for prevention of a potentially serious disease when specific groups at risk can be [isrctn.com]

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