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Pneumocephalus

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https://www.readbyqxmd.com/read/27903839/the-effect-of-brain-tomography-findings-on-mortality-in-sniper-shot-head-injuries
#1
Çağdaş Can, M Bolatkale, A Sarıhan, Y Savran, A Ç Acara, M Bulut
OBJECTIVES: Penetrating gunshot head injuries have a poor prognosis and require prompt care. Brain CT is a routine component of the standard evaluation of head wounds and suspected brain injury. We aimed to investigate the effect of brain CT findings on mortality in gunshot head injury patients who were admitted to our emergency department (ED) from the Syrian Civil War. METHODS: The study group comprised patients who were admitted to the ED with gunshot brain injury...
November 30, 2016: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/27881097/ischaemic-stroke-and-clostridium-septicum-sepsis-and-meningitis-in-a-patient-with-occult-colon-carcinoma-a-case-report-and-review-of-the-literature
#2
Kosmas Macha, Antje Giede-Jeppe, Hannes Lücking, Roland Coras, Hagen B Huttner, Jürgen Held
BACKGROUND: Clostridium septicum is a rare cause of meningitis and brain abscess in children and adults. Gas production by the pathogen can lead to pneumocephalus and the overall mortality rate of Clostridium septicum CNS infection is as high as 74%. The most common entry site of the pathogen is the gastrointestinal tract. CASE PRESENTATION: We describe a 74-year-old man who presented with a left-sided cerebral infarction in the middle cerebral artery territory...
November 24, 2016: BMC Neurology
https://www.readbyqxmd.com/read/27878133/massive-pneumocephalus-and-pneumorrhachis-after-severe-skull-base-fracture
#3
Hosseinali Khalili, Amin Niakan, Fariborz Ghaffarpasand
No abstract text is available yet for this article.
October 2016: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/27857924/a-case-of-intracranial-wooden-foreign-body-mimicking-pneumocephalus
#4
Dong Han Kim, Eun Suk Park, Han Yu Seong, Jun Bum Park, Soon Chan Kwon, Hong Bo Sim, In Uk Lyo
Intracranial wooden foreign bodies are rare. In addition, such objects are difficult to identify with conventional radiographic techniques, such as X-ray radiography or brain computed tomography. A 48-year-old man presented to our emergency room with a headache. Even though he had a history of trauma, he had no external wounds and showed no neurological deficits at the initial examination. He was initially diagnosed with trauma-related pneumocephalus. He developed a delayed intracranial infection and underwent surgery to remove the wooden foreign body...
October 2016: Korean Journal of Neurotrauma
https://www.readbyqxmd.com/read/27851389/1754-pneumocephalus-an-unusual-case-of-acute-frontal-sinusitis-and-pneumococcal-meningitis
#5
Brittaini Bunce, Taimur Khan, Gnan Thakore
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27833693/e-cigarette-blast-injury-complex-facial-fractures-and-pneumocephalus
#6
Benjamin A Archambeau, Stephanie Young, Carol Lee, Troy Pennington, Christopher Vanderbeek, Dan Miulli, John Culhane, Michael Neeki
Electronic cigarettes (also known as e-cigarettes or e-cigs) are becoming a popular method of recreational nicotine use over recent years. The growth of new brands and devices has been outpacing the FDA's ability to regulate them. As a result, some of these devices fail without warning, most likely from malfunction of the lithium-ion batteries that are in close proximity to volatile compounds within the device. Failures have occurred during both use and storage of the devices or their components. The subsequent injuries from several of these events, including full thickness burns requiring grafting and blast injuries, have been observed at Arrowhead Regional Medical Center, a regional trauma and burn center in southern California...
November 2016: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27799999/pneumocephalus-and-pneumorrhachis-due-to-a-subarachnoid-pleural-fistula-that-developed-after-thoracic-spine-surgery
#7
Gun-Sang Lee, Myung-Ki Lee, Woo-Jae Kim, Ho-Sang Kim, Jeong-Ho Kim, Yun-Suk Kim
Development of a communication between the spinal subarachnoid space and the pleural space after thoracic spine surgery is uncommon. Subarachnoid pleural fistula (SAPF), a distressing condition, involves cerebrospinal fluid leakage. Here we report an unusual case of SAPF, occurring after thoracic spine surgery, that was further complicated by pneumocephalus and pneumorrhachis postthoracentesis, which was performed for unilateral pleural effusion.
September 2016: Korean Journal of Spine
https://www.readbyqxmd.com/read/27795788/-mount-fuji-sign-in-postoperative-period-after-surgery-for-ependymoma-of-the-third-ventricle-v3-case-report-and-review-of-the-literature
#8
Abderrahmane Boumadiane, Ali Derkaoui, Abdelkarim Shimi, Mohamed Khatouf
Mount Fuji sign also known as compressive pneumocephalus is a redoubtable postoperative neurosurgical complication. We report the clinical case of a 10 months-old patient, hospitalized in reanimation for postoperative management following surgery for ependymoma of the third ventricle. The evolution was marked by the occurrence of early postoperative compressive pneumocephalus, responsible for neurological and hemodynamic worsening. This study highlights the possibility of occurrence of such an adverse event, as well as the therapeutic and especially preventive measures for this complication...
2016: Pan African Medical Journal
https://www.readbyqxmd.com/read/27795644/the-facial-skeleton-armor-to-the-brain
#9
Satishkumar G Patil, Bindu S Patil, Udupikrishna Joshi, Soumya Allurkar, Sharanabasappa Japatti, Ashwini Munnangi
BACKGROUND: With the development of urban setting worldwide, the major issue of concern is the increase in the mortality rate in the population due to road traffic accidents. The face, being the most exposed region is susceptible to injuries and maybe associated with injuries to the adjacent neuro-cranium. The literature has conflicting views on the relationship between facial fractures and head injuries with some authors opining that the facial skeleton cushions the brain while some other authors claim that the facial fractures act as indicators for head injuries...
September 2016: Indian Journal of Dentistry
https://www.readbyqxmd.com/read/27767903/neurosurgical-sequelae-of-domestic-dog-attacks-in-children
#10
Ramesh Kumar, Frederic W B Deleyiannis, Corbett Wilkinson, Brent R O'Neill
OBJECTIVE The authors' goals in this study were to describe a series of dog attacks on children that required neurosurgical consultation and to better understand the pattern of injuries inflicted, the circumstances that place children at risk for attack, and the dog breeds involved. In addition, the authors review the surgical and medical management of these patients. METHODS The authors performed a retrospective review of all children requiring neurosurgical consultation for dog bite at a regional Level 1 pediatric trauma center over a 15-year period...
October 21, 2016: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/27752640/near-complete-optic-nerve-transection-by-high-pressure-air
#11
Soo Won Ko, Jong Seok Lee, Han Sung Choi, Young Gwan Ko, Hoon Pyo Hong
The use of high-pressure air instruments has become more common. Consequently, there have been a number of cases of orbital emphysema caused by contact with high-pressure air. In this case, a 62-year-old male patient visited an emergency medical center after his left eye was shot by an air compressor gun that was used to wash cars. Lacerations were observed in the upper and lower eyelids of his left eye. Radiological examinations revealed orbital emphysema, optic nerve transection, pneumocephalus, and subcutaneous emphysema in the face, neck, shoulder, and mediastinum...
September 2016: Clinical and Experimental Emergency Medicine
https://www.readbyqxmd.com/read/27695534/posttraumatic-delayed-tension-pneumocephalus-rare-case-with-review-of-literature
#12
Vivek Kumar Kankane, Gaurav Jaiswal, Tarun Kumar Gupta
Pneumocephalus is commonly seen after head and facial trauma, ear infections, and tumors of the skull base or neurosurgical interventions. In tension pneumocephalus, the continuous accumulation of intracranial air is thought to be caused by a "ball valve" mechanism. In turn, this may lead to a mass effect on the brain, with subsequent neurological deterioration and signs of herniation. Tension pneumocephalus is considered a life-threatening, neurosurgical emergency burr-hole evacuation was performed and he experienced a full recovery...
October 2016: Asian Journal of Neurosurgery
https://www.readbyqxmd.com/read/27692367/-intractable-intraoperative-brain-herniation-secondary-to-tension-pneumocephalus-a-rare-life-threatening-complication-during-drainage-of-subdural-empyema
#13
Li Lian Foo, Sook Hui Chaw, Lucy Chan, Dharmendra Ganesan, Ravindran Karuppiah
Tension pneumocephalus is rare but has been well documented following trauma and neurosurgical procedures. It is a surgical emergency as it can lead to neurological deterioration, brainstem herniation and death. Unlike previous cases where tension pneumocephalus developed postoperatively, we describe a case of intraoperative tension pneumocephalus leading to sudden, massive open brain herniation out of the craniotomy site. The possible causative factors are outlined. It is imperative to rapidly identify possible causes of acute intraoperative brain herniation, including tension pneumocephalus, and institute appropriate measures to minimize neurological damage...
September 27, 2016: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/27673104/poster-350-persistent-pneumocephalus-after-gun-shot-wound-to-the-head
#14
Kunj G Patel, Lauren E Brandes, Srikanth Kurapati, Emily Boyd, Andrew C Dennison
No abstract text is available yet for this article.
September 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27636394/tension-pneumocephalus-related-to-spontaneous-skull-base-dehiscence-in-a-patient-on-bipap
#15
Todd J Wannemuehler, Richard D Hubbell, Rick F Nelson
No abstract text is available yet for this article.
October 2016: Otology & Neurotology
https://www.readbyqxmd.com/read/27631830/middle-cranial-fossa-mcf-approach-without-the-use-of-lumbar-drain-for-the-management-of-spontaneous-cerebral-spinal-fluid-csf-leaks
#16
Rick F Nelson, Joseph P Roche, Bruce J Gantz, Marlan R Hansen
OBJECTIVE: To determine the efficacy and morbidity of repairing spontaneous cerebrospinal fluid (CSF) leaks with the middle cranial fossa (MCF) approach without the use of a lumbar drain (LD), as perioperative use of LD remains controversial. STUDY DESIGN: Retrospective review from 2003 to 2015. SETTING: University of Iowa Hospitals and Clinics and Indiana University Health Center. PATIENTS: Those with a confirmed lateral skull base spontaneous CSF leaks and/or encephaloceles...
December 2016: Otology & Neurotology
https://www.readbyqxmd.com/read/27614418/the-role-of-computed-tomography-in-following-up-pediatric-skull-fractures
#17
Maria Zulfiqar, Stacy Kim, Jin-Ping Lai, Yihua Zhou
BACKGROUND: Despite the added radiation exposure and costs, the role of computed tomography (CT) in following pediatric skull fractures has not been fully evaluated. METHODS: We reviewed the radiology reports and images of the initial and follow-up head CT examinations of children with skull fractures to determine whether any interval changes in the fracture morphology and associated complications necessitate a change in clinical management. RESULTS: A total of 316 pediatric cases of skull fractures were identified, including 172 patients with and 144 without follow-up scans...
August 16, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/27597920/fatal-meningitis-in-a-14-month-old-with-currarino-triad
#18
Hanan Mohammed Al Qahtani, Khalid Suliman Aljoqiman, Hisham Arabi, Hesham Al Shaalan, Sumit Singh
We report a case of a 14-month-old girl with undiagnosed Currarino triad presenting acutely with meningitis caused by enteric commensals. Head CT demonstrated a large pneumocephalus. A fistulous neurenteric tract through a presacral mass was present on spine MRI and abdominal CT. The patient had a history of constipation for the last three months. However, an underlying diagnosis of Currarino triad had not been suspected. In retrospect, a sickle-shaped sacral anomaly was present on a previous abdominal radiograph...
2016: Case Reports in Radiology
https://www.readbyqxmd.com/read/27594957/an-unusual-cause-of-acute-headache-subarachnoid-free-air-secondary-to-spontaneous-bronchopleurodurosubarachnoid-fistula-from-a-pancoast-tumor
#19
Dmitriy N Kazimirko, Ellen E Parker, David A Joyner, Teddi H Berry, Charlotte S Taylor, Todd A Nichols, Majid A Khan
Pneumocephalus and pneumorrhachis are related to transgression of the barriers to the central nervous system. We present a patient with a Pancoast tumor treated with palliative chemoradiation who developed symptomatic spinal and intracranial air caused by spontaneous bronchopleurodurosubarachnoid fistula secondary to direct tumor invasion into the thecal sac.
September 2016: Radiology case reports
https://www.readbyqxmd.com/read/27579523/successful-repair-of-intraoperative-cerebrospinal-fluid-leaks-improves-outcomes-in-endoscopic-skull-base-surgery
#20
Arash Shahangian, Zachary M Soler, Andrew Baker, Sarah K Wise, Shruthi K Rereddy, Zara M Patel, Nelson M Oyesiku, John M DelGaudio, Constantinos G Hadjipanayis, Bradford A Woodworth, Kristen O Riley, John Lee, Michael D Cusimano, Satish Govindaraj, Mohemmed N Khan, Alkis Psaltis, Peter J Wormald, Stephen Santoreneos, Raj Sindwani, Samuel Trosman, Janalee K Stokken, Troy D Woodard, Pablo F Recinos, W Alexander Vandergrift Iii, Caitlin Boling, Rodney J Schlosser
BACKGROUND: The impact of failed cerebrospinal fluid leak (CSF) leak repair in endoscopic skull base surgery has not been adequately studied. METHODS: In this investigation we reviewed patients who had undergone endoscopic skull base surgery between 2002 and 2014 at 7 international centers. Demographic variables, comorbidities, tumor characteristics, and repair techniques were evaluated to determine association with successful repair of CSF leak. Postoperative complications and length of stay were compared among groups...
August 31, 2016: International Forum of Allergy & Rhinology
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