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01-12-2013 | Case Report

Tension pneumocephalus: a case report with review of literature

Authors: Shah Sweni, Subramanian Senthilkumaran, Namasivayam Balamurugan, Ponniah Thirumalaikolundusubramanian

Published in: Emergency Radiology | Issue 6/2013

Abstract

Tension Pneumocephalus (PC) was described 50 years ago. A case of pneumocephalus (PC) following cervical epidural injection in a 50-year-old male worsened by air travel and manifested as tension pneumocephalus, confirmed by advanced neuroimaging, is reported for the first time along with literature review. The patient underwent emergent frontal burr hole evacuation and air gushed under pressure. The patient recovered well and is stable during a follow-up of 12 months. Presenting features and clinical course along with Mount Fuji sign, Peaking sign, and air bubble sign observed in this case are described. Also, the importance of considering neurosurgical and spinal procedures leading to PC have to be considered by practitioners before issuing fitness certificate before air travel, as PC is likely to get transformed to tension PC and can cause an in-flight emergency.

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Title: Tension pneumocephalus: a case report with review of literature
Authors: Shah Sweni
Subramanian Senthilkumaran
Namasivayam Balamurugan
Ponniah Thirumalaikolundusubramanian
Publication date: 01-12-2013
Publisher: Springer Berlin Heidelberg
Published in: Emergency Radiology / Issue 6/2013
Print ISSN: 1070-3004
Electronic ISSN: 1438-1435
DOI: https://doi.org/10.1007/s10140-013-1135-7

At a glance: The STEP trials

Springer Medicine

Tension pneumocephalus: a case report with review of literature

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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