Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Spontaneous Pneumocephalus Associated with Pneumosinus Dilatans

  • Lee, Jung-Sup (Department of Neurosurgery, College of Medicine, Chung-Ang University) ;
  • Park, Yong-Sook (Department of Neurosurgery, College of Medicine, Chung-Ang University) ;
  • Kwon, Jeong-Taik (Department of Neurosurgery, College of Medicine, Chung-Ang University) ;
  • Suk, Jong-Sik (Department of Neurosurgery, College of Medicine, Chung-Ang University)
  • Received : 2009.09.26
  • Accepted : 2010.05.03
  • Published : 2010.05.28
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Abstract

The majority of cases of pneumocephalus are secondary to trauma or medical intervention. Spontaneous, non-traumatic pneumocephalus is an uncommon condition. Most cases of spontaneous pneumocephalus require surgery. However, if there is no evidence of infection or cerebrospinal fluid leak, bed rest and follow-up imaging is an alternative treatment. Herein, we report a 31-year-old man with spontaneous pneumocephalus associated with pneumosinus dilatans.

Keywords

References

  1. Andrews JC, Canalis RF : Otogenic pneumocephalus. Laryngoscope 96 : 521-528, 1986 https://doi.org/10.1288/00005537-198605000-00010
  2. Anorbe E, Aisa P, Saenz de Ormijana J : Spontaneous pneumatocele and pneumocephalus associated with mastoid hyperpneumatization. Eur J Radiol 36 : 158-160, 2000 https://doi.org/10.1016/S0720-048X(00)00177-7
  3. Babl FE, Arnett AM, Barnett E, Brancato JC, Kharasch SJ, Janecka IP : Atraumatic pneumocephalus : a case report and review of the literature. Pediatr Emerg Care 15 : 106-109, 1999 https://doi.org/10.1097/00006565-199904000-00008
  4. Bhimani S, Virapongse C, Sabshin JK, Sarwar M, Paterson RH Jr : Intracerebral pneumatocele : CT findings. Radiology 154 : 111-114, 1985 https://doi.org/10.1148/radiology.154.1.3964927
  5. Campos JM, Boechat MC, Azevedo ZM, Garrido JR, Rodrigues SL, Pone MV : Pneumocephalus and exophthalmos secondary to acute sinusitis and nasopharyngeal oxygen catheter. Clin Pediatr (Phila) 33 : 127-128, 1994 https://doi.org/10.1177/000992289403300216
  6. David NJ, Poppen JL, Gargano F : Post-irradiation pneumatocele in a massive chromophobe adenoma. J Neurol Neurosurg Psychiatry 31 : 182-186, 1968 https://doi.org/10.1136/jnnp.31.2.182
  7. Hermans PE, Bracke PG, Demeyer IV : Pneumocephalus due to barotrauma : CT demonstration. AJR Am J Roentgenol 159 : 1351- 1352, 1992
  8. Jarjour NN, Wilson P : Pneumocephalus associated with nasal continuous positive airway pressure in a patient with sleep apnea syndrome. Chest 96 : 1425-1426, 1989 https://doi.org/10.1378/chest.96.6.1425
  9. Markham JW : Pneumocephalus. In : Vinken PJ, Bruyn GW. Handbook of Clinical Neurology, ed 2. Amsterdam : North Holland Publishing, 1976, pp201-213
  10. Markham JW : The clinical features of pneumocephalus based upon a survey of 284 cases with report of 11 additional cases. Acta Neurochir (Wien) 16 : 1-78, 1967 https://doi.org/10.1007/BF01401900
  11. Reid AC, Davidson KG, Grossart KW, Durward WF : Spontaneous pneumocephalus following elective thoracotomy. Aust N Z J Med 12 : 67-69, 1982 https://doi.org/10.1111/j.1445-5994.1982.tb02430.x
  12. Richards SD, Saeed SR, Laitt R, Ramsden RT : Hypercellularity of the mastoid as a cause of spontaneous pneumocephalus. J Laryngol Otol 118 : 474-476, 2004
  13. Scholsem M, Collignon F, Deprez M, Martin D : Spontaneous pneumocephalus caused by the association of pneumosinus dilatans and meningioma. Case illustration. J Neurosurg 105 : 934, 2006 https://doi.org/10.3171/jns.2006.105.6.934
  14. Schrijver HM, Berendse HW : Pneumocephalus by valsalva's maneuver. Neurology 60 : 345-346, 2003 https://doi.org/10.1212/01.WNL.0000033802.04869.14
  15. Singh CH, Ramakrishnan LCN, Sarin D : Pneumosinus dilatans. MJAFI 63 : 300-301, 2007
  16. Stavas J, McGeachie RE, Turner DA, Nelson MJ : Symptomatic intracranial pneumatocele from mastoid sinus of spontaneous origin. Case report. J Neurosurg 67 : 773-775, 1987 https://doi.org/10.3171/jns.1987.67.5.0773
  17. Tanaka T, Takagi D, Takeyama N, Kitazawa Y : "Spontaneous" pneumocephalus associated with aerobic bacteremia. Clin Imaging 13 : 134-139, 1989 https://doi.org/10.1016/0899-7071(89)90095-8
  18. Trimarchi M, Lombardi D, Tomenzoli D, Farina D, Nicolai P : Pneumosinus dilatans of the maxillary sinus : a case report and review of the literature. Eur Arch Otorhinolaryngol 260 : 386-389, 2003 https://doi.org/10.1007/s00405-003-0587-x
  19. Tucker A, Miyake H, Tsuji M, Ukita T, Nishihara K, Ito S, et al. : Spontaneous epidural pneumocephalus. Neurol Med Chir (Tokyo) 48 : 474-478, 2008 https://doi.org/10.2176/nmc.48.474
  20. Wakefield BT, Brophy BP : Spontaneous pneumocephalus. J Clin Neurosci 6 : 174-175, 1999 https://doi.org/10.1016/S0967-5868(99)90091-7

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