Soin Priti, Sharma Pranav, Goyal Pradeep, Kochar Puneet Singh
Department of Pathology, GLM HospitalDelhiIndia.
Department of Radiology, Yale New Haven Health Bridgeport HospitalBridgeportConnecticut.
Proc (Bayl Univ Med Cent). 2018 Sep 21;31(4):537-538. doi: 10.1080/08998280.2018.1498680. eCollection 2018 Oct.
Pneumocephalus after trauma is not uncommon but rarely develops into tension pneumocephalus. Delayed-onset spontaneous tension pneumocephalus is rare, and delayed-onset isolated intraparenchymal/intracerebral tension pneumocephalus is even more so. We describe a 35-year-old man who presented with urinary incontinence, left eye vision loss, and nasal discharge/cerebrospinal fluid rhinorrhea 2 months after recovering from bifrontal hemorrhagic contusions following a road traffic accident. Intraparenchymal/intracerebral tension pneumocephalus was diagnosed with computed tomography and the patient was taken for an urgent decompressive surgery along with repair of the skull base defect.
创伤后气颅并不罕见，但很少发展为张力性气颅。迟发性自发性张力性气颅很罕见，而迟发性孤立性脑实质内/脑内张力性气颅更是如此。我们描述了一名35岁男性，在道路交通事故导致双侧额叶出血性挫伤恢复2个月后，出现尿失禁、左眼视力丧失和鼻漏/脑脊液鼻漏。通过计算机断层扫描诊断为脑实质内/脑内张力性气颅，患者接受了紧急减压手术并修复了颅底缺损。
