Abstract

IntroductionPneumocephalus (PNC) is most commonly associated with trauma or intracranial surgery, less commonly secondary to an infectious source, and is rarely caused by barotrauma.Case reportA 32-year-old woman presented to the emergency department with complaint of resolved left-sided facial droop and a lingering paresthesia of her left upper extremity after a cross-country flight. Computed tomography demonstrated several foci of air in the subdural space consistent with PNC.ConclusionFor PNC to occur there must be a persistent negative intracranial pressure gradient, with or without an extracranial pressure change. In this case the pressure change occurred due to cabin pressure.

Highlights

  • Pneumocephalus (PNC) is most commonly associated with trauma or intracranial surgery, less commonly secondary to an infectious source, and is rarely caused by barotrauma.Case report: A 32-year-old woman presented to the emergency department with complaint of resolved left-sided facial droop and a lingering paresthesia of her left upper extremity after a cross-country flight

  • We report a case of spontaneous atraumatic PNC in a previously healthy patient who presented with transient facial droop that had completely resolved by the time of presentation

  • CASE REPORT A 32-year-old woman presented to the emergency department (ED) with complaint of resolved left-sided facial droop and a lingering paresthesia of her left upper extremity

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Summary

Introduction

Pneumocephalus (PNC) is most commonly associated with trauma or intracranial surgery, less commonly secondary to an infectious source, and is rarely caused by barotrauma. Computed tomography demonstrated several foci of air in the subdural space consistent with PNC

Conclusion
INTRODUCTION
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