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]

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

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

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]

• Inguinal Hernia

  hernia【外鼠蹊ヘルニア】 fat hernia【脂肪ヘルニア】 femoral hernia【大腿ヘルニア】 hiatal hernia【裂孔ヘルニア】 vesical hernia【膀胱ヘルニア】 *herniated disc【椎間板ヘルニア】 *herpes simplex【単純疱疹】[L] *herpes simplex encephalitis【単純ヘルペス脳炎】[L] *herpes zoster【帯状疱疹 帯状ヘルペス】[L] *herpes zoster ophthalmicus [medo.jp]

• Decreased Breath Sounds

  The initial assessment was significant for a blood pressure at 104/72 mm Hg, heart rate at 124 beats per minute, decreased breath sounds in the left chest with agonal respirations, bleeding from right ear and back of head, open eyes, and non-verbal communication [westjem.com]

  Subcutaneous emphysema was palpated over the left chest, decreased breath sounds were noted and hypotension worsened, suggestive of tension pneumothorax. A left tube thoracostomy decompressed the pneumothorax and 700 ml of blood drained immediately. [ijcasereportsandimages.com]

• Agonal Respiration

  The initial assessment was significant for a blood pressure at 104/72 mm Hg, heart rate at 124 beats per minute, decreased breath sounds in the left chest with agonal respirations, bleeding from right ear and back of head, open eyes, and non-verbal communication [westjem.com]

• Bradypnea

  […] borreliosis【ボレリア感染症 ボレリア症】 lyme borreliosis【ライム*ボレリア感染症 ライム*ボレリア症】 *bovine tuberculosis【牛型結核(症)】 *bow elbow【内反肘】(cubitus varus) *bowen's disease【ボーエン病】 *brachycephaly【短頭症】 *brachygnathia【短顎(症)】 *bradycardia【徐脈】 *bradykinesia【運動緩慢】 *bradypepsia【消化緩徐】 *bradypnea [medo.jp]

• Intestinal Perforation

  perforation, subdural hematoma, or the formation of a pseudocyst around the peritoneum [ 3, 8 ]. [e-acfs.org]

  Moreover, the infection rate for those who bore intestinal perforations was not reported, making it impossible to analyse subgroup performance. [journals.plos.org]

• Abdominal Tenderness

  During the initial trauma evaluation, he was found to have slight facial deformities and abdominal tenderness. [ijciis.org]

• Agitated Delirium

  Clinical presentation of TP may include agitation, delirium, otherwise altered level of consciousness, pupillary changes, and frontal lobe syndrome. [9] At times, hemodynamic changes may be present, including episodes of bradycardia with or without hypertension [ijciis.org]

  Clinical signs of massive intracranial air include a headache, CSF rhinorrhea, pupillary changes, agitation, delirium and altered level of consciousness, focal neurological deficit, convulsion, frontal lobe syndrome, and cardiac arrest. [2] Episodes of [njcponline.com]

• Generalized Seizure

  seizure【全身性発作】 *geographic choroidopathy【地図状脈絡膜症】 *geographic keratitis【地図状角膜炎】 *geographic stippling of nails【爪甲地図状斑点】 *geographic tongue【地図状舌】 *germinoma【胚細胞腫】 *giant cell【巨細胞】 central giant cell granuloma【中心性巨細胞肉芽腫】 *giant cell fibroma【巨細胞性線維腫】 *giant [medo.jp]

• 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]

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

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

Study design Randomised controlled trial Primary study design Interventional Secondary study design Randomised controlled trial Trial setting Hospitals Trial type Treatment Patient information sheet Condition Traumatic pneumocephalus (entrance of air [isrctn.com]

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]

Prognosis, incidence and management of acute traumatic intracranial pneumocephalus. Acta Neurochirurgica, Vol. 80, Issue. 3-4, p. 93. CrossRef Google Scholar Jacobs, Joseph B. and Persky, Mark S. 1980. Traumatic pneumocephalus. [cambridge.org]

Prognosis, incidence and management of acute traumatic intracranial pneumocephalus. Acta neurochirurgica 1986; 80(3): 93-9. 19. North J. On the importance of intracranial air. British Journal of Surgery 1971; 58 (11): 826-9. 20. [jmscr.igmpublication.org]

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]

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]

[…] delirium, otherwise altered level of consciousness, pupillary changes, and frontal lobe syndrome. [9] At times, hemodynamic changes may be present, including episodes of bradycardia with or without hypertension (Case 1). [21] Trauma is the predominant etiologic [ijciis.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]

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]

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

Two mechanisms have been proposed to explain pneumocephalus. [17], [18], [19], [20] In the first mechanism, the pathophysiologic process starts with CSF leak in the presence of associated discontinuity of the cranium and leptomeningeal disruption. [ijciis.org]

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

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]

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]