Howng S L, Lieu A S, Chuang M C
Department of Surgery, Kaohsiung Medical College, Taiwan, Republic of China.
Gaoxiong Yi Xue Ke Xue Za Zhi. 1994 Apr;10(4):217-21.
Two patients were found with delayed intracerebral tension pneumocephalus 5 and 12 months later, following head injury. Simple skull X-ray showed a large air-containing cyst in the left frontal lobe in both cases. Dural repairs were done through an intradural approach via single frontal craniotomy. Basal skull fracture with dural tear at cribriform plate of ethmoid bone and intracerebral cyst filled with air were found during operation. Their deteriorated consciousness became clear post-operatively. Plain computed tomography was a very useful instrument in determining the location of the gas collection, fracture site, and tension on the brain.
两名患者在头部受伤后5个月和12个月被发现患有迟发性颅内张力性气颅。简单的颅骨X线检查显示，两例患者左侧额叶均有一个含气囊肿。通过单额开颅经硬膜内入路进行硬膜修复。术中发现筛骨筛板处基底颅骨骨折伴硬膜撕裂，脑内有充满气体的囊肿。术后他们恶化的意识变得清醒。普通计算机断层扫描在确定气体聚集的位置、骨折部位和对脑的张力方面是一种非常有用的工具。
