Schiffer J, Sarfaty S, Milo R, Shikar S
Department of Neurosurgery, Assaf Harofeh Medical Center, Zerifin, Israel.
Neurochirurgia (Stuttg). 1988 Nov;31(6):228-31. doi: 10.1055/s-2008-1053944.
An unusual case of CSF fistula and tension pneumatocele developing in a patient 22 years after a severe craniocerebral injury is reported. The patient had been asymptomatic during this long interval, but immediately after a minor head trauma massive rhinorrhea and diffuse pneumocephalus occurred. This was followed by the development of bifrontal tension pneumatocele with intracranial hypertension and neurological deterioration. The patient recovered after closure of the CSF fistula. The pathophysiological mechanism of this rare condition and the pertinent treatment are discussed.
报告了一例严重颅脑损伤22年后患者发生脑脊液瘘和张力性气囊肿的罕见病例。在此漫长间隔期内患者一直无症状，但在一次轻微头部外伤后立即出现大量鼻漏和弥漫性气颅。随后出现双侧额叶张力性气囊肿并伴有颅内高压和神经功能恶化。脑脊液瘘闭合后患者康复。讨论了这种罕见病症的病理生理机制及相关治疗方法。
