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Massive pneumocephalus after Valsalva maneuver in sphenoidal meningocele.
J Clin Neurosci
December 2024
Department of Otorhinolaryngology-Head and Neck Surgery, University of Insubria, Varese, Italy; Head and Neck Surgery & Forensic Dissection Research Center (HNS&FDRc), Department of Biotechnology and Life Sciences, University of Insubria, Varese, Italy.
Pneumocephalus, defined as the presence of gas within the intracranial space, typically results from head trauma, surgery, or diagnostic/therapeutic procedures that disrupt the dura. However, spontaneous or non-traumatic pneumocephalus is rare. This video article presents a case report of a 64-year-old woman referred to the Department of Otolaryngology with a severe frontal headache and clear nasal discharge (rhinorrhea) after performing the Valsalva maneuver to relieve ear fullness.
View Article and Find Full Text PDFCerebral air embolism associated with cavitary lung lesion in a patient with Ehlers-Danlos syndrome.
Radiol Case Rep
December 2024
Department of Radiology, Maimonides Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USA.
Article Synopsis
- * While most cases post-surgery are harmless, severe complications can arise, such as tension pneumocephalus and cerebral infarction.
- * This text discusses a unique case involving a patient with Ehlers-Danlos syndrome, who experienced air embolism and cerebral infarction due to a large lung cavity and associated vascular malformation; this is reportedly the first case of its kind documented.
Acute Streptococcus pneumoniae Meningitis: A Case Report.
AACN Adv Crit Care
September 2024
Mandy Sailor is a nurse practitioner student, Georgetown University, Washington, DC.
Article Synopsis
- A 69-year-old woman with no major health issues went to the emergency room due to confusion and worsening cold symptoms over the past 10 days.
- After a visit to urgent care for a cough and neck pain, further tests in the ER suggested she might have sepsis or meningitis.
- A CT scan showed brain issues related to a sinus infection, and tests confirmed she had a widespread Streptococcus pneumoniae infection, leading to serious strokes that could cause major disability.
Pneumocephalus: A Rare Complication of Sinusitis in a Pediatric Patient.
Cureus
July 2024
Emergency Medicine, Mercy Health - St. Rita's Medical Center, Lima, USA.
Pneumocephalus is uncommon, mostly arising as a result of surgery, trauma, infection, or neoplasm. Spontaneous occurrence is extremely rare and few case studies have been published. Pneumocephalus may also present as a complication of sinusitis and is a potential emergency.
View Article and Find Full Text PDFSudden-onset, non-traumatic large volume pneumocephalus following presentation of acute bacterial meningitis.
BMJ Case Rep
January 2024
Departments of Medicine and Pediatrics, Duke University School of Medicine, Durham, North Carolina, USA.
A man in his 30s, with sinonasal undifferentiated carcinoma status post resection 6 years prior, presented with acute onset of fever, headache and altered mentation. The patient was diagnosed with bacteremia and meningitis due to A standard antibiotic and corticosteroid regimen was started. Brain MRI showed an encephalocele abutting the superolateral nasopharynx mucosa.
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