Severe tension pneumocephalus complicating frontal sinus osteoma

The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques
L C MarrasD W Rowed

Abstract

Tension pneumocephalus, the accumulation of intracranial gas under pressure, is a rare but potentially life-threatening condition which can complicate craniofacial surgery, trauma, or cranial tumor. It presents as an acute or subacute expanding mass lesion. We present a case of a 40-year-old male who developed tension pneumocephalus as a consequence of a previously detected but untreated frontal sinus osteoma. Despite prompt decompression and repair of the fistulous connection between the sinus and the intracranial compartment, the patient suffered permanent frontal lobe damage with significant neurocognitive sequelae and seizures. This case illustrates that tension pneumocephalus can be a dangerous entity with potential for early mortality and long-term morbidity. We recommend, therefore, early treatment and close follow up of destructive lesions involving the posterior frontal sinus wall.

References

Jan 1, 1992·Annals of Emergency Medicine·R Conetta, D M Nierman
Feb 1, 1992·Journal of Neurosurgery·M J Cartwright, M B Eisenberg
Mar 1, 1981·The Journal of Laryngology and Otology·N Atallah, M M Jay
Dec 1, 1995·AJR. American Journal of Roentgenology·D N SmithR D Pugatch
Nov 1, 1994·Journal of Clinical Anesthesia·G M Vasdev, R C Chantigian
Jan 1, 1994·Intensive Care Medicine·A E Young, M Nevin
Jan 1, 1994·Journal of Neurosurgical Anesthesiology·M A Olympio, W O Bell
Mar 1, 1996·AJR. American Journal of Roentgenology·J D TobeyD C Lanza

❮ Previous
Next ❯

Citations

Feb 6, 2004·Stroke; a Journal of Cerebral Circulation·Bart M Demaerschalk
Apr 14, 2005·Journal of the American Veterinary Medical Association·Laurent S GarosiAlejandro Lujan
Feb 9, 1999·The Journal of Head Trauma Rehabilitation·N D Zasler
Dec 11, 2007·The British Journal of Radiology·S ShettyC Cook
Apr 21, 2010·Neurocritical Care·Clemens M SchirmerAnish Bhardwaj
May 8, 2002·Veterinary Surgery : VS·Laurent S GarosiP J Kirkpatrick
May 30, 2013·The Journal of Craniofacial Surgery·Yasu HarasakiVijay R Ramakrishnan

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.