Symptomatic pneumocephalus is frequently seen after traumatic fracture of the skull base bone. However, it has rarely been reported after spinal surgery and its mechanism has not been fully explained. In this paper, we present a 30 year old male patient who had lumbar discectomy due to a symptomatic midline lumbar disc herniation. He had developed symptomatic pneumocephalus after the lumbar dis...

A 27-year-old man presented to the emergency department after he was alleged to have had his face and head stamped on. On arrival, he had a Glasgow Coma Score of 15 and no indication at that time for a CT scan of the head. Facial radiographs demonstrated bilateral facial fractures with a LeFort II injury pattern. A left ‘eyebrow sign’ (wide arrow figure 1) was noted in keeping with an orbital b...

BACKGROUND Pneumocephalus is uncommon in craniofacial trauma and a rare occurrence in non-contact sports. It may be asymptomatic or present with signs of increased intracranial pressure and the majority of cases will resolve with conservative management. However, there should be a high index of clinical suspicion to recognise, diagnose, and manage it appropriately, as complications may be fatal...

Septoplasty is the most commonly performed operation in otolaryngology. Other than the more common complications such as hemorrhage, septal hematoma and abscess, perforation and postoperative deformities, the surgeon must also be aware of the rare but life-threatening ones such as skull base and intracranial injury, cerebrospinal fluid rhinorrhea, meningitis, pneumocephalus, subarachnoid hemorr...

BACKGROUND Aspergillus terreus is an evolving opportunistic pathogen, and patients with A. terreus often have poor outcomes due to its intrinsic resistance to several systemic antifungal agents. Here we present a unique case of intracranial abscesses of A. terreus in a patient with recurrent angiosarcoma, complicated by development of tension pneumocephalus. CASE REPORT A 67-year old gentleman ...

Lumbar nerve root block is a common modality used in the management of radiculopathy. Its complications are rare and usually minor. Despite its low morbidity, significant acute events can occur. Pneumocephalus is an accumulation of air in the intracranial space. It indicates a violation of the dura or the presence of infection. The object of this report is to describe the case of a patient with...

A 60 year old male had an open thoracotomy for bronchogenic carcinoma. On the twelfth hospital day he became obtunded and complained of headache. Radiographs revealed intracranial air. It was thought that the pneumocephalus in this patient was most likely secondary to a tension pneumothorax continuously forcing air through a dural tear sustained at the time of initial surgery. The causes of pne...