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.
Highlights
ConclusionTension pneumocephalus is a life‐threatening neurosurgical emergency case, which needs to undergo immediate surgical or conservative treatment
Pneumocephalus, known as intracerebral aerocele or pneumatocele, is a collection of air in the cranial cavity.[7]. It is a complication of head injury in 3.9-9.7% cases,[8] it appears after supratentorial craniotomy in 100% of cases.[19]
We describe a rare case of delayed tension pneumocephalus who underwent urgent surgical treatment
Summary
Tension pneumocephalus is a life‐threatening neurosurgical emergency case, which needs to undergo immediate surgical or conservative treatment.
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