Anest. intenziv. Med. 2023;34(4):176-179 | DOI: 10.36290/aim.2023.062

Tension pneumocephalus caused by E. coliCase Report

Nekvindová K., Gabrhelík T., Graus T.
ARIM Krajská nemocnice Tomáše Bati, a. s., Zlín

Spontaneous tension pneumocephalus is a rare clinical symptom but can be life-threatening emergency. Pneumocephalus can develop acutely or chronically. Clinical symptoms are usually non-specific, diagnose can be made with imaging methods. Patient must have neurosurgical referral and require decompression. Major complications are epileptic seizures, loss of consciousness with necessity of tracheal intubation with mechanical ventilation, focal neurological symptoms, brainstem herniation or cardiac arrest.

Keywords: tension pneumocephalus, Escherichia coli, rectal carcinoma.

Received: August 11, 2023; Revised: November 5, 2023; Accepted: November 27, 2023; Prepublished online: December 11, 2023; Published: December 15, 2023  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Nekvindová K, Gabrhelík T, Graus T. Tension pneumocephalus caused by E. coli. Anest. intenziv. Med. 2023;34(4):176-179. doi: 10.36290/aim.2023.062.
Download citation

References

  1. Komolafe EO, Faniran EA. Tension pneumocephalus - a rare but treatable cause of rapid neurological deterioration in traumatic brain injury. A case report. African Journal of Neurological Sciences. 2011;29:88-91. Go to original source...
  2. Śmiłowska K, Sznajder­‑Stacha K, Kocyłowski D, Popek A, Rozpondek K, Grechuta M, et al. Pneumocephalus as a rare complication: a systematic review plus clinical vignette. Neurol Neurochir Pol. 2021;55(3):253-268. doi: 10.5603/PJNNS.a2021.0014. Epub 2021 Feb 5. PMID: 33543469. Go to original source... Go to PubMed...
  3. Harvey JJ, Harvey SC, Belli A. Tension pneumocephalus: the neurosurgical emergency equivalent of tension pneumothorax. BJR Case Rep. 2016 May 8;2(2):20150127. doi: 10.1259/bjrcr.20150127. PMID: 30363668; PMCID: PMC6180885. Go to original source... Go to PubMed...
  4. Jayaram S, Jadhav S, Rathod D, Tarvade S, Sornan A. Meningitis: an unusual cause of pneumocephalus. J Assoc Physicians India. 2004 Jan;52:67-8. PMID: 15633724.
  5. Clement AR, Palaniappan D, Panigrahi RK. Tension Pneumocephalus. Anesthesiology. 2017 Oct;127(4):710. doi: 10.1097/ALN.0000000000001703. PMID: 28537932. Go to original source... Go to PubMed...
  6. Pulickal GG, Sitoh YY, Ng WH. Tension pneumocephalus. Singapore Med J. 2014 Mar;55(3):e46-8. doi: 10.11622/smedj.2014041. PMID: 24664394; PMCID: PMC4293999. Go to original source... Go to PubMed...
  7. Penrose­‑Stevens A, Ibrahim A, Redfern RM. Localized pneumocephalus caused by Clostridium perfringens meningitis. Br J Neurosurg. 1999 Feb;13(1):85-6. doi: 10.1080/02688699944285. PMID: 10492695. Go to original source... Go to PubMed...
  8. Osborn AG, Daines JH, Wing SD, Anderson RE. Intracranial air on computerized tomography. J Neurosurg. 1978 Mar;48(3):355-9. doi: 10.3171/jns.1978. 48. 3.0355. PMID: 632860. Go to original source...
  9. Zákon č. 372/2011 Sb., zákon o zdravotních službách a podmínkách jejich poskytování (zákon o zdravotních službách. Verze 29. [Internet]. 2023 [cited 8. 10. 2023]. Available from: https://www.zakonyprolidi.cz/cs/2011-372.
  10. Mihál V. Proč a jak psát kazuistiku? Pediatr. praxi. 2003;3:149-51.




Anesteziologie a intenzivní medicína

Madam, Sir,
please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

I declare:

  1. that I have met the above instruction
  2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited


No

Yes

If your statement is not true, please be aware
that brings the risk of danger to their health or the health of others.