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SUMMARY Septoplasty and septorhinoplasty are common procedures. A 28-year-old woman underwent the procedure and presented postoperatively with headache and vomiting and had developed a large pneumocephalus. We describe the case in detail and analyze the possible causes and ways to prevent such a complication.

1Medical residents of Neurology, Department of Neurology, Federal Fluminense University, Niterói RJ, Brazil; 2MD, PhD, Professor of Neurology, Department of Neurology, Federal Fluminense University, Niterói RJ, Brazil; 3Ophthalmologist, Post-graduating program in Neurology and Neuroscience, Federal Fluminense University, Niterói RJ, Brazil; 4Radiologist at Antonio Pedro Hospital, Federal Flumin...

OBJECT The purpose of this study was to compare the efficacy of the prophylactic use of ceftriaxone for the prevention of meningitis in patients with acute traumatic pneumocephalus. METHODS In this prospective, single-institution, randomized clinical trial, 109 patients with mild head injury and traumatic pneumocephalus were randomly assigned to receive or not receive an antibiotic medication...

Various complications may develop as a result of epidural anesthesia. Pneumocephalus is a rare complication during epidural catheter insertion. In this case report, 61 years old patient was admitted for hip fracture and planned to have hip replacement surgery. Combined spinoepidural anesthesia was planned during surgery as anesthetic tehchnique. Epidural catheter was inserted for postoperative ...

Pneumocephalus associated with spinal problems is very rare. Association with encephalomeningitis secondary to a fistula after an infected elective lumbar spine fusion has not been previously reported. The authors report a case in which the clinical onset of pneumoencephalomeningitis occurred after an airplane flight. CT-scan and lumbar puncture were used to make diagnosis; the treatment was ba...