PMID: 11904043Mar 21, 2002Paper

Intraparenchymal tension pneumatocele complicating frontal sinus osteoma: case report

Neurosurgery
David Johnson, Leong Tan

Abstract

A relatively rare condition of intraparenchymal tension pneumatocele secondary to a frontal sinus osteoma eroding posteriorly and breaching dura mater is described. The scanty body of literature on this subject is briefly summarized, and the importance of this condition as a result of its life-threatening but readily treatable intracranial mass effect is outlined. The patient presented with acute deterioration in conscious state and lateralizing signs from the mass effect of gas under tension. Two weeks earlier, he had experienced vague and subtle changes in personality noticeable only to his family. The patient was cured by a frontal craniotomy, partial excision of the osteoma, and suture repair of the dural defect after evacuation of the pressurized air cavity. This rare condition should be urgently treated in the event of acute deterioration. To prevent a life-threatening situation from arising, elective surgery should be considered for patients known to have air sinus osteomas that are at risk of erosion into the cranial cavity.

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Citations

Oct 26, 2012·Equine Veterinary Journal·B DunkelR Weller
Mar 21, 2009·Ophthalmic Plastic and Reconstructive Surgery·Loren S JackJohn D Ng
Apr 21, 2010·Neurocritical Care·Clemens M SchirmerAnish Bhardwaj
May 30, 2013·The Journal of Craniofacial Surgery·Yasu HarasakiVijay R Ramakrishnan
Aug 18, 2004·Journal of Neurosurgery·Raman C MahabirGarnette R Sutherland
Jun 11, 2009·Acta neurochirurgica·Hakan EmmezNecdet Ceviker
Jan 26, 2012·Head and Neck Pathology·Larisa M LehmerBruce D Ragsdale
Jul 29, 2016·The Journal of Craniofacial Surgery·Koy Min ChueWei Chen Ong
Apr 10, 2017·ORL; Journal for Oto-rhino-laryngology and Its Related Specialties·Lukas AnschuetzFranca Wagner
Sep 13, 2007·Otolaryngologia polska. The Polish otolaryngology·Pawel StrekRoman Głowacki
Sep 11, 2020·Journal of Neurological Surgery. Part A, Central European Neurosurgery·Hyukjoon SeoSung Ho Lee
Dec 25, 2002·The Journal of Law, Medicine & Ethics : a Journal of the American Society of Law, Medicine & Ethics·Meleah Geertsma

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