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Pneumocephalus

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https://www.readbyqxmd.com/read/28721326/tension-pneumocephalus-following-bilateral-craniotomies
#1
Fionn Coughlan, Alexander Lam, Stephen Honeybul
Pneumocephalus is defined as a collection of air within the cranial cavity. It is a common finding following head injury with skull base fracture and neurosurgical procedures. Tension pneumocephalus is a rare complication. The diagnosis is clinical and radiological with the characteristic Mount Fuji sign seen on computed tomography (CT). It is a neurosurgical emergency, and early recognition and treatment are vital.
June 15, 2017: Curēus
https://www.readbyqxmd.com/read/28708647/pneumocephalus-induced-oculomotor-nerve-palsy-after-atlanto-occipital-decompression-with-dural-plasty
#2
Yunfeng Han, Jianjun Sun, Zhenyu Wang
BACKGROUND: Pneumocephalus after posterior fossa craniotomy is very common. However, cranial nerve dysfunction secondary to pneumocephalus is a very rare phenomenon. PATIENT PRESENTATION: This case reports a patient who suffers from Chiari I malformation with syringomyelia in cervical spinal cord and develops unilateral oculomotor nerve palsy after atlanto-occipital decompression with dural plasty. CONCLUSIONS: Cranial nerve dysfunction caused by pneumocephalus after craniotomy is rare and easily misdiagnosed...
July 13, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28702154/a-case-report-on-late-presentation-of-occult-dural-lesions
#3
Timothy J Cochrane, Gurpreet Singh Ranger
BACKGROUND: Occult dural injuries are rare and can occur as a result of major or minor head injury. These injuries usually manifest with cerebrospinal fluid rhinorrhea alone, or with meningitis and cerebral abscess, sometimes many years after the original injury. CASE PRESENTATION: We present a case of occult dural injury with endocranial complications which occurred in a 34 year old man, with a history of head injury forty-three years ago. The patient presented with a triad of findings; meningitis, CSF rhinorrhoea and pneumocephalus...
2017: Caspian Journal of Internal Medicine
https://www.readbyqxmd.com/read/28698750/the-relationship-between-risk-factors-of-head-trauma-with-ct-scan-findings-in-children-with-minor-head-trauma-admitted-to-hospital
#4
Babak Masoumi, Farhad Heydari, Hamidreza Hatamabadi, Reza Azizkhani, Zahra Yoosefian, Majid Zamani
BACKGROUND: In emergency medicine for determining the intracranial injury (ICI) in children with head trauma, usually brain CT scan is performed. Since brain CT scan, especially in children, has some disadvantages, it is better to find a procedure which could help to choose only the children with real head trauma injury for brain CT scan. AIMS: The aim of this study is to find such procedure. This study was descriptive, analytic and non-interventional. METHODS: We reviewed the archived files of children with head trauma injuries referred to the emergency department of Imam Hossein Hospital within two years...
June 15, 2017: Open Access Macedonian Journal of Medical Sciences
https://www.readbyqxmd.com/read/28665089/post-traumatic-tension-pneumocephalus-the-mount-fuji-sign
#5
J Ryan, G Shields, E Finegan, A Moughty
Pneumocephalus is defined as the presence of intracranial air. This is most commonly secondary to a traumatic head injury. Tension pneumocephalus presents radiologically with compression of the frontal lobes and widening of the interhemispheric space between the frontal lobes. It is often termed the Mount Fuji sign due to a perceived similarity with an iconic mountain peak in Japan. We present the case of a 52-year-old gentleman who presented to the emergency department shortly before 8am on a Saturday morning following an assault...
April 10, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/28641811/tension-pneumocephalus-following-suboccipital-sitting-craniotomy-in-the-pediatric-population
#6
P Daszkiewicz, D Dziedzic
BACKGROUND: Sitting craniotomy often results in entrapment of air in fluid-filled intracranial cavities. Gas under pressure exerts a deleterious effect on adjacent nervous tissue, resulting in clinical deterioration. AIM OF STUDY: To assess the incidence of tension pneumocephalus (TP) and to define risk factors associated therewith. MATERIAL AND METHOD: Analysis included 100 consecutive patients (57 boys, 43 girls, mean age 9.7 y) undergoing suboccipital sitting craniotomy since 2012 to 2014...
May 11, 2017: Neurologia i Neurochirurgia Polska
https://www.readbyqxmd.com/read/28620574/complications-of-advanced-kadish-stage-esthesioneuroblastoma-single-institution-experience-and-literature-review
#7
Sheri K Palejwala, Saurabh Sharma, Christopher H Le, Eugene Chang, Michael Lemole
INTRODUCTION: In esthesioneuroblastoma, greater disease extent and Kadish staging correlate with greater recurrence, complications, and mortality. These advanced stage malignancies require extensive resections and aggressive adjuvant therapy. This increases the risk of complications such as cerebrospinal fluid leak, neurologic deficits, and osteomyelitis. We present our case series and then analyze the literature to ascertain whether advanced stage tumors corresponds to greater rates of complications...
May 12, 2017: Curēus
https://www.readbyqxmd.com/read/28558345/post-operative-unilateral-internuclear-ophthalmoplegia-following-basilar-pneumocephalus-after-resection-of-c1-intradural-extramedullary-tumor
#8
Deb Kumar Mojumder, Jason Choi, Ben Zion Roitberg
No abstract text is available yet for this article.
May 17, 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/28537932/tension-pneumocephalus
#9
Alexa R Clement, Dhamodaran Palaniappan, Rabi K Panigrahi
No abstract text is available yet for this article.
May 23, 2017: Anesthesiology
https://www.readbyqxmd.com/read/28515584/frontal-sinus-osteoma-with-pneumocephalus-a-rare-cause-of-progressive-hemiparesis
#10
Ashwini Bakde Umredkar, Amit Disawal, Aarti Anand, Prajwalit Gaur
Osteomas of paranasal sinuses are common benign tumors and are diagnosed incidentally. However, osteomas complicated by pneumocephalus with air fluid level presenting with progressive hemiparesis is rare. Here, we present a case report of a 22-year-old male who presented with left-sided progressive hemiparesis with history of generalized headache since 2 years.
January 2017: Indian Journal of Radiology & Imaging
https://www.readbyqxmd.com/read/28484546/postoperative-hematoma-involving-brainstem-peduncles-cerebellum-deep-subcortical-white-matter-cerebral-hemispheres-following-chronic-subdural-hematoma-evacuation
#11
Mohana Rao Patibandla, Amit K Thotakura, Dinesh Shukla, Anirudh K Purohit, Gokul Chowdary Addagada, Manisha Nukavarapu
Among the intracranial hematomas, chronic subdural hematomas (CSDH) are the most benign with a mortality rate of 0.5-4.0%. The elderly and alcoholics are commonly affected by CSDH. Even though high percentage of CSDH patients improves after the evacuation, there are some unexpected potential complications altering the postoperative course with neurological deterioration. Poor outcome in postoperative period is due to complications like failure of brain to re-expand, recurrence of hematoma and tension pneumocephalus...
April 2017: Asian Journal of Neurosurgery
https://www.readbyqxmd.com/read/28468141/clinical-observation-of-treatment-of-chronic-subdural-hematoma-with-novel-double-needle-minimally-invasive-aspiration-technology
#12
Yi Wan, Xifeng Fei, Dongyi Jiang, Hanchun Chen, Lei Shi, Zhimin Wang
OBJECTIVE: The aim of the present study was to explore the clinical effects, including the prevention of complications, of the treatment of chronic subdural hematoma with double needle aspiration. METHODS: The clinical data of 31 patients with chronic subdural hematoma treated by double YL-1 needle double skull drilling and 31 controls treated by traditional drilling and drainage were analyzed retrospectively. RESULTS: In the YL-1 needle group, only 1 patient was with hematoma recurrence, 1 patient was with intracranial pneumocephalus, and the remaining patients who were followed up for 3 months achieved a clinical cure...
May 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28462551/spontaneous-pneumocephalus
#13
Suvrendu Sankar Kar, Jyotirmay Pal, Suvendu Jana, Swati Kumar, Partha Sarathi Karmakar, Anindya Sarkar, Cankatika Chowdhuiy
No abstract text is available yet for this article.
March 2017: Journal of the Association of Physicians of India
https://www.readbyqxmd.com/read/28421835/symptomatic-tension-pneumocephalus-following-palacos%C3%A2-cranioplasty-in-a-shunted-patient
#14
Tim Killeen, Mathias Fortunati, Esha Myanger, Daniel Rüfenacht, Nurzhan Ryskeldiyev, Serik Akshulakov, Evaldas Cesnulis
Tension pneumocephalus is an exceedingly rare complication of cerebrospinal fluid diversion occurring after surgery, trauma or spontaneous fistula formation. We report a case in a patient with a ventriculoperitoneal shunt who developed symptomatic tension pneumocephalus via a skin defect within 24 hours of undergoing bone cement cranioplasty.
April 19, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28413562/pneumocephalus-is-not-a-serious-outcome-after-surgery-for-chronic-sdh
#15
Pratyush Chaudhuri
No abstract text is available yet for this article.
January 2017: Asian Journal of Neurosurgery
https://www.readbyqxmd.com/read/28382259/traumatic-tension-pneumocephalus-two-cases-and-comprehensive-review-of-literature
#16
REVIEW
Promod Pillai, Rohit Sharma, Larami MacKenzie, Eugene F Reilly, Paul R Beery, Thomas J Papadimos, Stanislaw Peter A Stawicki
Although traumatic pneumocephalus is not uncommon, it rarely evolves into tension pneumocephalus (TP). Characterized by the presence of increasing amounts of intracranial air and concurrent appearance or worsening neurological symptoms, TP can be devastating if not recognized and treated promptly. We present two cases of traumatic TP and a concise review of literature on this topic. Two cases of traumatic TP are presented. In addition, a literature search revealed 20 additional cases, of which 18 had sufficient information for inclusion...
January 2017: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/28382256/prognostication-of-traumatic-brain-injury-outcomes-in-older-trauma-patients-a-novel-risk-assessment-tool-based-on-initial-cranial-ct-findings
#17
Stanislaw P Stawicki, Thomas R Wojda, John D Nuschke, Ronnie N Mubang, James Cipolla, William S Hoff, Brian A Hoey, Peter G Thomas, Joan Sweeney, Daniel Ackerman, Jonathan Hosey, Steven Falowski
INTRODUCTION: Advanced age has been traditionally associated with worse traumatic brain injury (TBI) outcomes. Although prompt neurosurgical intervention (NSI, craniotomy or craniectomy) may be life-saving in the older trauma patient, it does not guarantee survival and/or return to preinjury functional status. The aim of this study was to determine whether a simple score, based entirely on the initial cranial computed tomography (CCT) is predictive of the need for NSI and key outcome measures (e...
January 2017: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/28376662/minimally-invasive-surgery-for-pott-s-puffy-tumor-is-it-time-for-a-paradigm-shift-in-managing-a-250-year-old-problem
#18
REVIEW
Samuel C Leong
INTRODUCTION: The aim of this study was to review the clinical outcomes and efficacy of endoscopic sinus surgery (ESS) in the management of Pott's puffy tumor (PPT). METHODS: Literature PubMed review using a combination of MeSH terms and keywords was undertaken, combined with a single surgeon case series of 3 patients. RESULTS: A total of 29 (20 males, median age 25 years) cases were reviewed. The most common etiology was acute frontal sinusitis (62%), followed by a history of chronic rhinosinusitis (28%)...
June 2017: Annals of Otology, Rhinology, and Laryngology
https://www.readbyqxmd.com/read/28374140/revisiting-the-indirect-signs-of-a-temporal-bone-fracture-air-air-everywhere
#19
Adam C Ulano, Srinivasan Vedantham, Deepak Takhtani
BACKGROUND AND PURPOSE: The standard head CT protocol makes detection of a temporal bone fracture difficult. The purposes of our study are to revisit the finding of air in various locations around the temporal bone as an indirect sign of fracture and determine if findings could predict fracture pattern. MATERIALS AND METHODS: We searched the radiology reports for the keyword "temporal bone fracture." We recorded the presence of air in multiple locations around the temporal bone and pneumocephalus, opacification of the mastoid air cells or the middle ear cavity, and dominant fracture pattern...
April 3, 2017: Emergency Radiology
https://www.readbyqxmd.com/read/28347678/one-and-a-half-syndrome-following-penetrating-head-injury-case-report
#20
Mathew R Voisin, Sanskriti Sasikumar, Jeremy H Russell, Gelareh Zadeh
The authors report a case of a 22-year-old otherwise healthy female who presented following a head injury during a bar altercation, with no associated loss of consciousness and an unknown mechanism of injury. Examination revealed an isolated 1cm laceration on the right upper eyelid, superior to her medial canthus. She experienced diplopia on right horizontal gaze due to a left internuclear ophthalmoplegia (INO) with an associated left conjugate horizontal gaze palsy, collectively described as a left one-and-a-half syndrome...
July 2017: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
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