scholarly journals Otogenic Tension Pneumocephalus Caused by Therapeutic Lumbar Csf Drainage for Post-Traumatic Hydrocephalus: A Case Report

2007 ◽  
Vol 86 (7) ◽  
pp. 391-405 ◽  
Author(s):  
Edwin K. Chan ◽  
Lawrence Z. Meiteles

Tension pneumocephalus occurs when a continuous flow of air accumulates in the intracranial cavity and produces a mass effect on the brain. We describe a case in which tension pneumocephalus was caused by the performance of continuous lumbar CSF drainage in a middle-aged man who had experienced a temporal bone fracture. Continuous lumbar CSF drainage is commonly performed in patients with temporal bone or basilar skull fractures to treat concomitant post-traumatic CSF rhinorrhea, CSF otorrhea, and/or hydrocephalus. However, to the best of our knowledge, there has been no previously reported case of tension pneumocephalus occurring as a complication of this procedure in a patient with a temporal bone fracture.

2019 ◽  
Vol 12 (3) ◽  
pp. e228457 ◽  
Author(s):  
Ana Sousa Menezes ◽  
Daniela Ribeiro ◽  
Daniel Alves Miranda ◽  
Sara Martins Pereira

Post-traumatic pneumolabyrinth is an uncommon clinical entity, particularly in the absence of temporal bone fracture. We report the case of a patient who presented to our emergency department with a headache, sudden left hearing loss and severe dizziness which began after a traumatic brain injury 3 days earlier. On examination, the patient presented signs of left vestibulopathy, left sensorineural hearing loss and positive fistula test, normal otoscopy and without focal neurological signs. The audiometry confirmed profound left sensorineural hearing loss. Cranial CT revealed a right occipital bone fracture and left frontal subdural haematoma, without signs of temporal bone fracture. Temporal bone high-resolution CT scan revealed left pneumolabyrinth affecting the vestibule and cochlea. Exploratory tympanotomy revealed perilymphatic fistula at the location of the round window. The sealing of defect was performed using lobule fat and fibrin glue. He presented complete resolution of the vestibular complaints, though the hearing thresholds remained stable.


Radiography ◽  
2016 ◽  
Vol 22 (1) ◽  
pp. e3-e4 ◽  
Author(s):  
A. Scuotto ◽  
S. Cappabianca ◽  
R. Capasso ◽  
A. Porto ◽  
S. D'Oria ◽  
...  

2019 ◽  
Vol 4 (1) ◽  
pp. 32
Author(s):  
Ari Astuti

Background : Blunt head trauma without any temporal bone fracture or longitudinal temporal bone fracture, with an associated fracture of the labyrinth may cause labyrinthine injury with hearing loss and vertigo because of a concusive injury to the membranous labyrinth. Objective : To explain a case of labyrinthine concussion in patient with post traumatic brain injury experienced in Dr. Sardjito Hospital Yogyakarta. Case Description : A patient who treated in the hospital with spinning sensation after crush injury. She also had fracture of the left collum femur. Head CT scan and laboratory examination was initiated within normal limit. Patient then diagnosed with labyrinthine concussion and treated with symptomatic therapy and physiotherapy. Conclusion : Labyrinthine concussion can occur to the patient of blunt head trauma. Pharmacotherapy and physiotherapy should be initiated to reduce symptomps and uncomfortable sensation. Keywords : labyrinthine concussion, traumatic brain injury, mixed type vertigo


2016 ◽  
Vol 3 (39) ◽  
pp. 1949-1950
Author(s):  
Vijay Ramalingam ◽  
Kandasamy Kamindan Manjai Sengodan ◽  
Mothilal Konda Balaraman ◽  
Somasundaram Subramaniam ◽  
Anand Inbanayagam ◽  
...  

2019 ◽  
Vol 40 (1) ◽  
pp. e62-e65
Author(s):  
Renata M. Knoll ◽  
Danielle R. Trakimas ◽  
Reuven Ishai ◽  
Anat Stemmer-Rachamimov ◽  
Aaron K. Remenschneider ◽  
...  

2010 ◽  
Vol 125 (3) ◽  
pp. 321-323
Author(s):  
C Kirton ◽  
A Guidera

AbstractObjective:We present an unusual case of parapharyngeal cerebrospinal fluid collection causing upper airway obstruction following a temporal bone fracture.Method:Case report and literature review of temporal bone fracture associated with parapharyngeal cerebrospinal fluid collection.Results:A 19-year-old man presented with cerebrospinal fluid otorrhoea and temporal bone fracture following a head injury. He was discharged after 48 hours of observation. The patient returned within 6 hours with sudden unilateral neck swelling and stridor after blowing his nose. Flexible nasendoscopy and computed tomography showed extrinsic compression of the pharynx, with partial upper airway obstruction. A literature review using Pubmed™ and Medline™ identified no previously reported cases of parapharyngeal cerebrospinal fluid collection associated with temporal bone fracture.Conclusion:This case illustrates a previously undescribed complication of temporal bone fracture. Raised intracranial pressure in the presence of a cerebrospinal fluid fistula may lead to airway obstruction, following temporal bone fracture.


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