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Spontaneous Pneumocephalus Caused by Pneumococcal Meningitis

  • Kim, Hyun Sook (Department of Internal Medicine, Soonchunhyang University College of Medicine) ;
  • Kim, Seok Won (Department of Neurosurgery, School of Medicine, Chosun University) ;
  • Kim, Sung Hoon (Department of Rehabilitation, Wonju College of Medicine, Yonsei University)
  • 투고 : 2012.11.13
  • 심사 : 2013.04.08
  • 발행 : 2013.04.28

초록

Pneumocephalus is a condition characterized by the presence of air in the cranium, and it is mainly caused by trauma or a neurosurgical procedure. In the absence of head trauma or a neurosurgical procedure, meningitis is an extremely rare cause of pneumocephalus. Here, the authors present a rare case of spontaneous pneumocephalus caused by pneumococcal meningitis, in which simple lateral radiography and computed tomography (CT) findings of the skull suggested the diagnosis. Cerebrospinal fluid analysis showed bacterial meningitis which later revealed streptococcus pneumonia. The patient was treated with antibiotics and responded remarkably well. Repeat CT performed after 2 weeks of treatment showed complete resolution of the intracranial gas. Here, the authors report an unusual case of a pneumocephalus caused by meningitis in the absence of head trauma or a neurosurgical procedure.

키워드

참고문헌

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피인용 문헌

  1. Severe Sepsis due to Otogenic Pneumococcal Meningitis with Pneumocephalus without Meningeal Symptoms. vol.54, pp.13, 2013, https://doi.org/10.2169/internalmedicine.54.4074
  2. Spontaneous Nontraumatic Pneumocephalus: A Case Report vol.17, pp.7, 2013, https://doi.org/10.5812/ircmj.23920v2
  3. Management of complex skull base defects accompanied by pneumocephalus vol.83, pp.2, 2013, https://doi.org/10.17116/neiro20198302185
  4. Pneumocephalus and Meningitis as Complications of Mastoiditis vol.2019, pp.None, 2013, https://doi.org/10.1155/2019/7876494
  5. Pneumoncoccal Meningitis Presenting with Ventriculitis and Pneumocephalus vol.37, pp.1, 2013, https://doi.org/10.17340/jkna.2019.1.15
  6. Spontaneous extensive pneumocephalous as a rare manifestation of Escherichia coli suppurative meningitis in Diabetic ketoacidosis vol.13, pp.1, 2020, https://doi.org/10.1136/bcr-2020-234281
  7. Pneumococcal Otogenic Meningitis Complicated With Pneumocephalus and Coma State vol.12, pp.10, 2020, https://doi.org/10.7759/cureus.10917
  8. A rare case of spontaneous otogenic pneumocephalus with pictorial illustration of temporal evolution vol.87, pp.None, 2021, https://doi.org/10.1016/j.jocn.2021.02.023
  9. Pneumocephalus secondary to a spinal surgery: A literature review and a case report vol.86, pp.None, 2021, https://doi.org/10.1016/j.ijscr.2021.106342