|
|
第57卷 第2期 2024-3
Necrotizing fasciitis resulted from foreign body ingestion and intestinal perforation in an incisional hernia: Report of a case |
| ......................... |
|
第57卷 第2期 2024-3
Application of artificial intelligence in endodontic microsurgery |
| ......................... |
|
第57卷 第2期 2024-3
A rare case of cerebral metastasis of malignant peripheral nerve sheath tumor in a patient with neurofibromatosis type 1 |
| ......................... |
|
第57卷 第2期 2024-3
Ethic in commenting and clinical surgery journal publication: Emerging issue in the era of social media—A story from “Beall” to “Jaime” and independent researcher |
| ......................... |
|
第57卷 第2期 2024-3
Ophidascaris robertsi, the new emerging human parasite and neurosurgery |
| ......................... |
|
第57卷 第2期 2024-3
Tetanus toxoid IgG, usefulness in clinical surgery, and diagnostic property limitation |
| ......................... |
|
第57卷 第2期 2024-3
Deaths among surgeons while on duty: An important issue in surgery and occupational medicine that should not be disregarded |
| ......................... |
|
第57卷 第2期 2024-3
ChatGPT and its use in clinical surgery: A comment on its pro and con |
| ......................... |
|
第57卷 第2期 2024-3
Isolated spinal neurocysticercosis and pseudotumor cerebri: Tropical problem to be noted |
| ......................... |
|
第57卷 第2期 2024-3
Management of massive hemothorax resulting from traumatic diaphragm rupture with kidney avulsion injury by combined anterior thoracoabdominal approaches |
| ......................... |
|
第57卷 第2期 2024-3
Laparoscopic partial splenectomy for sclerosing angiomatoid nodular transformation: A case report and literature review |
| ......................... |
|
第57卷 第2期 2024-3
Using three-dimensional versus two-dimensional laparoscopy in sleeve gastrectomy: A case matched comparison |
| ......................... |
|
第57卷 第2期 2024-3
Effectiveness of placing prophylactic mesh with the Sugarbaker technique via laparoscopic abdominoperineal resection for rectal cancer: 1-year results |
| ......................... |
|
第57卷 第2期 2024-3
Nylon cable ties–assisted delay primary closure of fasciotomy wound in patients of forearm compartment syndrome |
| ......................... |
|
第57卷 第2期 2024-3
Prefabricated venous fl ap, an advanced free venous fl ap for distant transfer: An experimental rat study |
| ......................... |
|
第57卷 第1期 2024-1
Isolated lower leg monoplegia due to traumatic intraparenchymal hemorrhage |
| ......................... |
|
第57卷 第1期 2024-1
Reflections on the association between cholecystectomy, cholelithiasis, and colorectal cancer |
| ......................... |
|
第57卷 第1期 2024-1
Molluscum contagiosum, false positive, and incidence: Concern in surgery |
| ......................... |
|
第57卷 第1期 2024-1
New form of COVID-19 vaccine: A new advanced technology for fighting the remained problem |
| ......................... |
|
第57卷 第1期 2024-1
COVID-19 vaccination, acute appendicitis, interrelationship, and jointed probability: A concern |
| ......................... |
|
 |
| 篇名 |
Tension Pneumocephalus: Report of Two Cases |
| 作者 |
Te-Cheng Yueh, Kuang-Chen Hung, Dyi-Sheng Chang |
| 卷期/出版年月 |
39卷1期 (2006/2) |
| 頁次 |
38-42 |
| 摘要 |
Tension pneumocephalus is the presence of intracranial air under pressure which can
cause rapid neurological deterioration requiring emergency surgery. This is a report
of two cases of intracranial tension pneumocephalus. The first patient had a history
of emergent craniotomy due to a traumatic frontal depressed skull fracture with
minimal pneumocephalus. He complained of progressive weakness in the left limbs
and urinary incontinence 32 months after his head injury. A brain computed tomographic
scan showed compressive pneumo-ventricle and pneumocephalus. The
second patient complained of persistent headache and cerebrospinal fluid (CSF) rhinorrhea
two weeks after a road traffic accident. The brain computed tomographic scan
demonstrated a massive accumulation of air in the subarachnoid space of the cranial
cavity having a compressive effect on the brain. The first patient underwent a pterional
approach craniotomy and the dural defect was repaired with a dura substitute(
Neuropatch). The second patient underwent a bicoronal craniotomy with temporal
muscle fascia graft packing. The clinical symptoms of both patients improved
after the operations without neurological deficits. The diagnosis of pneumocephalus is
made according to clinical signs and the presence of intracranial air shown in the
brain computed tomographic scan. The main cause of failure of this treatment is the
lack of repair of the dural tear. Medical practitioners should always keep in mind the
possibility of tension pneumocephalus when patients having skull fractures complain
of headaches and neurological deterioration. Brain computed tomography is an effective tool in the early diagnosis of tension pneumocephalus. |
| 關鍵詞 |
brain injury, cerebrospinal fluid leak, tension pneumocephalus |
| 分類 |
Case Report |
|
