Development of a communication between the spinal subarachnoid space and the pleural space after thoracic spine surgery is uncommon. Subarachnoid pleural fistula (SAPF), a distressing condition, involves cerebrospinal fluid leakage. Here we report an unusual case of SAPF, occurring after thoracic spine surgery, that was further complicated by pneumocephalus and pneumorrhachis postthoracentesis,...

Unlike the penetrating injuries to the brain caused by missiles, injuries by stabbing are largely restricted to the wound tract. Early recognition, debridement and judicious antibiotic therapy can limit or prevent complications in the management of stab wounds. Among the common sequelae of stab wounds of the brain are pneumocephalus, meningitis, intracerebral hemorrhage and direct blood vessel ...

A 74-year-old female presented to an outside medical facility with gradual decline in neurological status over a period of 6 to 8 weeks. The patient’s symptoms began with headache and progressed to confusion, altered sensorium, escalating ataxia, and expressive aphasia. The patient was transferred to our medical center. Review of the patient’s past medical history was negative for head trauma, ...

1 PhD, Medical Sciences (MD). 2 PhD, Otorhinolaryngology (Assistant Physician, HCRP-FMRP USP). 3 Professor (Retired Professor, FMRP USP). 4 PhD, Medicine (Professor, FMRP-USP). Send correspondence to: Miguel Angelo Hyppolito. Av. Bandeirantes, no 3900, 12o andar. Monte Alegre. Ribeirão Preto SP. Brazil. CEP: 14048-900. Medical School of Ribeirão Preto University of São Paulo University Hospital...

case report about pneumacephalus after influenza virus infection, a topic that may be underestimated in its incidence. Delayed pneumocephalus represents a rare but well-reported complication of cerebrospinal fluid (CSF) diversion diseases that may be also the origin of the disease in the presented case. The exact pathophysiology of the development of pneumocephalus after influenza virus infecti...

The Mount Fuji sign is seen in bilateral subdural hypertensive pneumocephalus. These air collections cause compression of the frontal lobes, which take a shape similar to the silhouette of Mount Fuji. It is most commonly seen after surgical decompression of a chronic subdural hematoma. However, it may also be observed following head trauma, otogenic infections, nitrous oxide anesthesia and diving.