Spontaneous otogenic pneumocephalus presenting with occipital subcutaneous emphysema as primary symptom: could tension gas cause the destruction of cranial bones?

Author:

Zhao Ninghui12,Wang Doris D.3,Huang Xiaobin1,Karri Surya K.2,Wu Haiying4,Zheng Mingxiu4

Affiliation:

1. Departments of Neurosurgery and

2. Neurosurgical Service, Massachusetts General Hospital, Boston, Massachusetts; and

3. Department of Neurosurgery, University of California, San Francisco, California

4. Otorhinolaryngology, the Second Affiliated Hospital of Kunming Medical College, Kunming, China;

Abstract

The authors report, to the best of their knowledge, the first case of a spontaneous tension pneumocephalus with subcutaneous emphysema. Hyperpneumatization of the cranium and mechanical compression contributed jointly to the formation of a fistula, and air pressure caused a subsequent disruption of the suture and air leakage into the subcutaneous space. A minimally invasive otological procedure proved efficacious for resolution.

Publisher

Journal of Neurosurgery Publishing Group (JNSPG)

Subject

Genetics,Animal Science and Zoology

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