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J Neurol Surg A Cent Eur Neurosurg 2020; 81(06): 575-578
DOI: 10.1055/s-0040-1713798
Case Report

Spontaneous Intraparenchymal Tension Pneumocephalus

Hyukjoon Seo
1   Department of Neurosurgery, School of Medicine, Kyung Hee University, Seoul, Republic of Korea
,
Sang Hoon Kim
2   Department of Otorhinolaryngology-Head and Neck Surgery, School of Medicine, Kyung Hee University, Seoul, Republic of Korea
,
Jiwook Ryu
1   Department of Neurosurgery, School of Medicine, Kyung Hee University, Seoul, Republic of Korea
,
Sung Ho Lee
3   Department of Neurosurgery, College of Medicine, Seoul National University, Seoul, Republic of Korea
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Abstract

Tension pneumocephalus is a treatable emergency that is usually caused by trauma or surgery. We present a rare case of spontaneous tension pneumocephalus. A 64-year-old woman presented with a severe aggravating headache. Computed tomography revealed a large air collection in the brain parenchyma of the right frontal lobe, both lateral ventricles, and the subarachnoid space. Emergent craniotomy was performed because her headache got progressively worse. We found that an abnormal bony protrusion connected the frontal sinus mucosa and the intraparenchymal pneumocephalus. After removal of the bony mass and repair of the defect, the patient immediately recovered and there was no recurrence.

Keywords

brain - pneumocephalus - surgery

Informed Consent

Informed consent was obtained from all individual participants included in the study.




Publication History

Received: 20 November 2019

Accepted: 13 February 2020

Article published online:
10 September 2020

© 2020. Thieme. All rights reserved.

Georg Thieme Verlag KG
Stuttgart · New York

 

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