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Solomiichuk VO, Lebed VO, Drizhdov KI. Posttraumatic delayed subdural tension pneumocephalus. Surg Neurol Int. 2013;4:37doi: 10.4103/2152-7806.109537.
Solomiichuk, V. O., Lebed, V. O., & Drizhdov, K. I. (2013). Posttraumatic delayed subdural tension pneumocephalus. Surgical neurology international, 437. https://doi.org/10.4103/2152-7806.109537
Solomiichuk, Volodymyr O, et al. "Posttraumatic delayed subdural tension pneumocephalus." Surgical neurology international vol. 4 (2013): 37. doi: https://doi.org/10.4103/2152-7806.109537
Solomiichuk VO, Lebed VO, Drizhdov KI. Posttraumatic delayed subdural tension pneumocephalus. Surg Neurol Int. 2013 Mar 25;4:37. doi: 10.4103/2152-7806.109537. Print 2013. PMID: 23607059; PMCID: PMC3622390.
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Surg Neurol Int. 2013 Mar 25;4:37. doi: 10.4103/2152-7806.109537. Print 2013.

Posttraumatic delayed subdural tension pneumocephalus.

Surgical neurology international

Volodymyr O Solomiichuk, Vitaliy O Lebed, Konstantin I Drizhdov

Affiliations

  1. Neurosurgical Department, Yalta City Hospital, Yalta, Crimea, Ukraine.

PMID: 23607059 PMCID: PMC3622390 DOI: 10.4103/2152-7806.109537

Abstract

BACKGROUND: Pneumocephalus is a complication of head injury in 3.9-9.7% of the cases, it also appears after supratentorial craniotomy in 100% of cases. The accumulation of intracranial air can be acute (<72 hours) or delayed (≥72 hours). When intracranial air causes intracranial hypertension and has a mass-effect with neurological deterioration, it is called tension pneumocephalus.

CASE DESCRIPTION: We represent a clinical case of a 75-year-old male patient with open penetrating head injury, complicated by tension pneumocephalus on the fifth day after trauma and underwent urgent surgical correction. Operation performed: Burr-hole placement in the right frontal region, evacuation of tension pneumocephalus.

CONCLUSION: Tension pneumocephalus is a life-threatening neurosurgical emergency case, which needs to undergo immediate surgical or conservative treatment.

Keywords: Computed tomography scan; cerebrospinal fluid leak; craniofacial trauma; head injury; tension pneumocephalus

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