Ugwu B T, Bawa D, Ikenna E, Ohene J, Liman H U, Mohammed A M, Aji S A, Adoga A S, Peter S D, Binitie O P, Ogbe M E
Department of Surgery, Jos University Teaching Hospital, Jos, Nigeria.
Department of Anaesthesia, Jos University Teaching Hospital, Jos, Nigeria.
J West Afr Coll Surg. 2011 Jul;1(3):83-90.
Traumatic intracranial aerocele, also known as pneumocephalus, is an uncommon condition that may be asymptomatic or may present with progressive neurological deficits and life threatening conditions that demand urgent decompressive craniotomy to reduce the acute rise in intracranial pressure and the sequelae.
AIMS & OBJECTIVES: A high degree of suspicion and continuous neurological monitoring are essential for the early detection and the prompt neurosurgical intervention demanded for the achievement of a good outcome in patients following traumatic acute severe head injury with life threatening neurological complications.
Presentation of a young motorcyclist who was not wearing a crash helmet and was involved in a road traffic accident in which he sustained a compound cranio-facial injury with loss of consciousness and symptomatic intracranial aerocele.
The case of a 28-year old motorcyclist without a helmet, following a road traffic accident, sustained compound skull fracture with CSF rhinorrhea, ventricular aerocele and progressive blindness who recovered his vision fully following bitemporal decompressive craniotomy.
A high index of suspicion enabled early detection and prompt decompressive craniotomy that stemmed the progressive loss of vision in this patient with an uncommon but symptomatic intracranial aerocele and cranio-facial compound head injury.
创伤性颅内气膨，也称为气颅，是一种罕见的病症，可能无症状，也可能表现为进行性神经功能缺损和危及生命的情况，需要紧急进行减压开颅手术以降低颅内压急性升高及后遗症。
高度怀疑和持续的神经监测对于早期发现以及对创伤性急性重型颅脑损伤伴危及生命的神经并发症患者及时进行神经外科干预至关重要，这对于取得良好预后必不可少。
介绍一名未戴头盔的年轻摩托车手，他遭遇了一场道路交通事故，在事故中遭受了复合性颅面损伤，伴有意识丧失和有症状的颅内气膨。
一名28岁未戴头盔的摩托车手在道路交通事故后，发生了复合性颅骨骨折伴脑脊液鼻漏、脑室气膨和进行性失明，在双侧减压开颅术后视力完全恢复。
高度怀疑使得能够早期发现并及时进行减压开颅手术，从而阻止了该患有罕见但有症状的颅内气膨和颅面复合性颅脑损伤患者视力的进行性丧失。
