A Case of Pneumocephalus Following Facial Trauma Pneumocephalus.
- Author:
Sang Yoon OH
1
;
Kyoung Hoon HAHM
;
Heung Cheol KIM
;
Min Cheol SHIN
Author Information
1. Department of Ophthalmology, College of Medicine, Hallym University, Korea. smcheol0@hanmail.net
- Publication Type:Case Report
- Keywords:
CT;
Facial trauma;
Pneumocephalus;
Subconjunctival emphysema
- MeSH:
Adolescent;
Diagnosis;
Emphysema;
Eyelids;
Headache;
Hemorrhage;
Humans;
Optic Nerve;
Orbit;
Pneumocephalus*;
Sclera;
Skull;
Skull Fractures;
Visual Acuity
- From:Journal of the Korean Ophthalmological Society
2002;43(12):2614-2617
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To describe a patient who developed left subconjunctival air and pneumocephalus without definite finding of skull fracture after facial trauma. METHODS: A 16-year-old man developed headache, upper eyelid swelling and decreased visual acuity after facial trauma. Ophthalmic examinations revealed left subconjunctival hemorrhage, air and corneal abrasion. Computed tomography and simple X-ray showed huge orbital emphsema. It extends into the left posterior sclera, around the optic nerve and optic canal. Diagnosis of pneumocephalus of basal cistern with no bony fracture of face, orbits and skull was made. RESULTS: In clinical practice, physician should be kept in mind that the possibility of pneumocephalus resulted from orbital or subconjunctival emphysema through optic nerve sheath in case of no definite evidence of basal skull fractures.
