Post traumatic pneumocephalus, its complications and management outcome: A prospective study in tertiary care center

To study clinical course and complications in patients diagnosed to have post-traumatic pneumocephalus based on: 1. Patterns of associated skull fractures; 2 Findings seen CT scan which may be risk factors for development CSFR, meningitis or tension pneumocephalus. outcome with PTP This prospective observational was conducted over a period 14 months from 15 Nov. 2017 Jan. 2019 Goa Medical College, tertiary care centre the management all kind trauma including TBI. The included cases TBI head showing alonwith there radiological findings, course, its outcome. A total 102 were study. Motor vehicle accident found major cause (79.41%). most common site post traumatic subdural (45.1%). Majority had focal underlying fracture segment (63.73%). (30) either isolated frontal sinus (18) multiple basal (12). CSFR 13 patients. (74.51%) treated conservatively. Most operative interventions done EDH, SDH, Contusion diffuse brain injuries. Comminuted depressed is massive CSFR. All evidence must followed longer as delayed onset TP, CSF leak didn’t show any specific pattern initial presentation.The use prophylactic anticonvulsants should on presence other indications it.Patients can managed without antibiotics reserved then only those contaminated injuries.TP, are life threatening PTP. Early recognition high index suspicion prompt treatment results improvement vast majority