Abstract

1 The history and bibliography of pneumocephalus are reviewed. 2 Its pathology, symptomatology and diagnosis are described. 3 Classification and terminology according to the site of the air are advocated. 4 A routine for general management is indicated, and various therapeutic operative procedures are mentioned. 5 A complicated case of pneumocephalus, associated with compound comminuted fracture of the left orbital cavity, frontal bone and frontal sinus, with loss of the left eye, with damage to the frontal lobes and with traumatic epilepsy and meningitis, following a self-inflicted gunshot wound of the left temple, is presented. 6 Many unusual and puzzling features, with comments on their significance and their treatment, are discussed.

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