Publications by authors named "John I Iskandar"
Aeromedical evacuation of patients with pneumocephalus: outcomes in 21 cases.
Aviat Space Environ Med
January 2008
Introduction: Aeromedical evacuation of patients with posttraumatic and/or post-surgical pneumocephalus has often been regarded with great concern. The expansion of intracranial air with increasing altitude can theoretically result in tension pneumocephalus, with potentially fatal results. This concern is primarily based on extremely rare case reports and theoretical models rather than any significant clinical experience.
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- A 24-year-old Marine sergeant experienced headache and lack of coordination (ataxia) while serving in Kuwait and was taken to a combat support hospital (CSH).
- Imaging revealed a cystic brain tumor that was causing dangerous levels of pressure in the brain, requiring immediate surgical intervention due to his worsening condition.
- Despite limited resources at the CSH, doctors successfully removed the tumor, resolving his symptoms and enabling safe evacuation—marking the first successful brain tumor surgery in such a military setting.