Abstract
Background: Pneumocephalus is an injury that characterized by air entrance into the intracranial space. It may occur after head trauma, infection, tumor or it may be iatrogenic. According to the amount of air increases, this can cause neurological findings with a mass effect and this condition is called tension pneumocephalus. Case report: In this study present a case of a 63 year old man presented to the emergency department by EMS because of head trauma. He was found to have loss of consciousness. Brain CT-scan revealed the typical Mount Fuji sign suggestive of massive pneumocephalus. The patient was transferred to the ICU and was managed conservatively without any decompressive surgery. On evaluation of 5 days later, he was alert and asymptomatic and control brain CT-scan has minimal pneumocephalus. Then, the patient was discharged from hospital. Conclusion: Although massive pneumocephalus is a complication that if it is not treated immediately, it may be convert to tension pneumocephalus and give rise to serious morbidity and mortality concerns, but this case showed massive pneumocephalus without sign of tension pneumocephalus that conservative treatment was done successfully.
Highlights
This model are being questioned by recent research findings because studies have found it difficult to demonstrate significant differences of plasma oncotic pressure (COP) among septic and non-septic patients [3, 4]
Important treatment objective during the management of critically ill patients; the association of the administration of resuscitation fluids with attaining hemodynamic stability for Corresponding author: Craig M Lilly patients has led to recommendations for its timely administration for injured, bleeding, burned, hypovolemic and septic patients
Research exploring novel concepts of fluid physiology culminated in the identification of an endothelial glycocalyx layer (EGL) on the luminal aspect of the vascular endothelium [9]
Summary
This model are being questioned by recent research findings because studies have found it difficult to demonstrate significant differences of plasma oncotic pressure (COP) among septic and non-septic patients [3, 4]. Important treatment objective during the management of critically ill patients; the association of the administration of resuscitation fluids with attaining hemodynamic stability for Corresponding author: Craig M Lilly patients has led to recommendations for its timely administration for injured, bleeding, burned, hypovolemic and septic patients
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