Traumatic subdural pneumocephalus causing rise in intracranial pressure in the early phase of head trauma: report of two cases

This paper presents two unique cases of subdural tension pneumocephalus which has deteriorated in the early phase of head trauma. Subdural pneumocephalus accounts for about 25% of all intracranial pneumocephalus cases. In the literature subdural pneumocephalus is describes as a benign and spontaneou...

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Bibliographic Details
Published in:Acta neurochirurgica 1998-01, Vol.140 (7), p.655-658
Main Authors: Oge, K, Akpinar, G, Bertan, V
Format: Article
Language:English
Subjects:
Adolescent
Adult
Craniotomy
Head injuries
Head Injuries, Closed - complications
Head Injuries, Closed - diagnostic imaging
Head Injuries, Closed - surgery
Humans
Intracranial Hypertension - diagnostic imaging
Intracranial Hypertension - surgery
Male
Pneumocephalus - diagnostic imaging
Pneumocephalus - surgery
Subdural Space
Tomography, X-Ray Computed
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Summary:This paper presents two unique cases of subdural tension pneumocephalus which has deteriorated in the early phase of head trauma. Subdural pneumocephalus accounts for about 25% of all intracranial pneumocephalus cases. In the literature subdural pneumocephalus is describes as a benign and spontaneously resolving condition. Contrary to the available literature and our experience in 1341 trauma cases in the past ten years of whom 76 had subdural pneumocephalus, both cases deteriorated in the early hours following head trauma due to an increase in subdural air volume which was evacuated by craniotomy.
ISSN:0001-6268
0942-0940
DOI:10.1007/s007010050159