Extradural and epicranial pneumatocele is a rare condition. It may complicate with CSF rhinorrhoea and meningitis which can have a fatal outcome. We present a case of delayed post-operative extradural and epicranial pneumatocele in the frontal region following primary repair of the anterior skull base for a traumatic compound craniofacial injury with CSF leakage. There was no evidence of meningitis or raised ICP. As the patient was neurologically stable; he was managed conservatively and had a spontaneous resolution of the pneumatocele.
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Mymensingh Med J
July 2016
Dr AM Rejaus Satter, Associate Consultant, Neurosurgery, Square Hospitals Limited, Dhaka, Bangladesh; E-mail:
Extradural and epicranial pneumatocele is a rare condition. It may complicate with CSF rhinorrhoea and meningitis which can have a fatal outcome. We present a case of delayed post-operative extradural and epicranial pneumatocele in the frontal region following primary repair of the anterior skull base for a traumatic compound craniofacial injury with CSF leakage.
View Article and Find Full Text PDFMiddle East J Anaesthesiol
June 2008
Department of Neuroanaesthesiology, All India Institute of Medical Sciences, New Delhi, India.
In neurosurgical practice, extradural or subgaleal drains are commonly placed and connected to a vacuum system. Several reports have described severe bradycardia or arterial hypotension, or both, after connection of negative suction pressure to the extradural or epicranial drains following craniotomy. We encountered an unusual complication with the use of the vacuum drain after an elective aneurysmal clipping surgery.
View Article and Find Full Text PDFNeurochirurgie
May 1999
Clinique de Neurochirurgie, CHU Saint-Pierre, Bruxelles, Belgique.
A case of chronic epidural and epicranial pneumocephalus in a 31-year-old man with a history of head trauma and progressive development of a soft tissue mass in the occipital region is reported. Its hypothetical pathogenesis and pathophysiology are discussed.
View Article and Find Full Text PDFActa Neurochir (Wien)
July 1997
Department of Neurosurgery, School of Medicine, Akdeniz University, Antalya, Turkey.
In conservative management of extradural haematomas (EDH), several mechanisms were described to explain the resorption of the haematoma. One of these was the transfer of the clot into the epicranial space through the skull fracture. In this study, the effects of skull fracture and associated intracranial lesions in the conservative management of EDH were investigated.
View Article and Find Full Text PDFThis paper reports on 14 cases of cranial and orbital epidermoid tumours, of which 2 epicranial, 4 extradural intracranial, 4 fronto-orbital-sinusal, 2 orbital and 2 orbito-nasal cases. Referring to these cases and data published in the specialised literature, the authors show that this type of tumour is more frequent in males, and is generally of embryologic but very rarely of mechanical origin. The main symptom is tumefaction in cranial tumours and exophthalmos in orbital tumours.
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