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Spontaneous otogenic intracerebral pneumocephalus: case report and review of the literature


Krayenbühl, Niklaus; Alkadhi, Hatem; Jung, Hans-Heinrich; Yonekawa, Yasuhiro (2005). Spontaneous otogenic intracerebral pneumocephalus: case report and review of the literature. European Archives of Oto-Rhino-Laryngology, 262(2):135-138.

Abstract

Pneumocephalus is commonly associated with head and facial trauma, ear infection or surgical interventions. We describe the rare case of a spontaneous pneumocephalus arising from lateral mastoid air cells. A 48-year-old man presented with a 10-day history of sudden, repetitive, ‘hammering-like' acoustic sensations in his left ear that were followed by word-finding difficulties and loss of vision in the right visual field. Imaging revealed a large, left temporal pneumatocele associated with a small acute intracerebral hemorrhage. Left temporal and subtemporal craniotomy and decompression were performed. Further exploration confirmed a dural and osseous defect in the anterolateral surface of the mastoid that was consecutively closed watertight. Although extremely rare, a spontaneous pneumocephalus with mastoidal origin should be considered as a possible diagnosis in patients with suggestive acoustic phenomena and other non-specific neurological symptoms

Abstract

Pneumocephalus is commonly associated with head and facial trauma, ear infection or surgical interventions. We describe the rare case of a spontaneous pneumocephalus arising from lateral mastoid air cells. A 48-year-old man presented with a 10-day history of sudden, repetitive, ‘hammering-like' acoustic sensations in his left ear that were followed by word-finding difficulties and loss of vision in the right visual field. Imaging revealed a large, left temporal pneumatocele associated with a small acute intracerebral hemorrhage. Left temporal and subtemporal craniotomy and decompression were performed. Further exploration confirmed a dural and osseous defect in the anterolateral surface of the mastoid that was consecutively closed watertight. Although extremely rare, a spontaneous pneumocephalus with mastoidal origin should be considered as a possible diagnosis in patients with suggestive acoustic phenomena and other non-specific neurological symptoms

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:National licences > 142-005
Dewey Decimal Classification:610 Medicine & health
Scopus Subject Areas:Health Sciences > Otorhinolaryngology
Uncontrolled Keywords:Otorhinolaryngology, General Medicine
Language:English
Date:1 February 2005
Deposited On:24 Oct 2018 10:25
Last Modified:31 Jul 2020 02:41
Publisher:Springer
ISSN:0937-4477
OA Status:Green
Publisher DOI:https://doi.org/10.1007/s00405-004-0754-8
Related URLs:https://www.swissbib.ch/Search/Results?lookfor=nationallicencespringer101007s0040500407548 (Library Catalogue)

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