Post-Traumatic Tension Pneumocephalus of Delayed Onset: Case Report.
- Author:
Jae Woo KIM
1
;
Sang Hoon LEE
;
Kyoung Soo LEE
;
Kyung Cheol KO
;
Ho Kyoung KIM
;
Chang Ghu KHANG
;
Ui Wha CHUNG
;
Seung Woo PARK
Author Information
1. Department of Neurosurgery, Bong Saeng Memorial Hospital, Busan, Korea.
- Publication Type:Case Report
- Keywords:
Craniocerebral trauma;
Tension pneumocephalus;
Ball-valve mechanism
- MeSH:
Abdominal Fat;
Brain;
Consciousness;
Craniocerebral Trauma;
Craniotomy;
Diagnosis;
Follow-Up Studies;
Headache;
Humans;
Pneumocephalus*;
Skull Fractures;
Young Adult
- From:Journal of Korean Neurosurgical Society
2002;31(3):289-292
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The authors present a case of post-traumatic tension pneumocephalus of delayed onset. A 23-year-old man fell down and was admitted to our hospital with initial diagnosis of basal skull fracture associated with small amounts of pneumocephalus on brain computerized tomography(CT). At admission, the consciousness was alert without focal neurological deficit. During conservative therapy, headache was slowly progressive and consciousness became drowsy on 13th day after admission. The brain follow-up CT showed huge low air density lesion in the right frontal area. We performed unilateral subfrontal craniotomy with duroplasty for removal of air and dural repair with galea aponeurotica and abdominal fat. Postoperatively, the condition was recovered.
