Pneumocephalus Secondary to Tension Pneumothorax Associated with Comminuted Fracture of the Thoracic Spine

Author:

McCall Charles S.1,Nguyen Tai Q.1,Vines Frederick S.1,Bremer Alfonso M.1

Affiliation:

1. Departments of Neurosurgery and Radiology, University Hospital of Jacksonville, Jacksonville, Florida

Abstract

Abstract We present an unusual case of pneumocephalus secondary to a tension pneumothorax associated with fracture of the thoracic spine. Air from a pneumothorax entered the thoracic intraspinal compartment and the intracranial cavity through a comminuted fracture of the spine. The pneumocephalus and the pneumothorax resolved after aspiration of the intrathoracic air via an intercostal catheter. Diagnosis, therapeutic modalities, and potential complications of a pneumocephalus and of a communication between the thoracic cavity and the spinal dural space are discussed.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Neurology (clinical),Surgery

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