Pneumocephalus and Facial Droop on an Airplane: A Case Report

INTRODUCTION: Pneumocephalus (PNC) is most commonly associated with trauma or intracranial surgery, less commonly secondary to an infectious source, and is rarely caused by barotrauma. CASE REPORT: A 32-year-old woman presented to the emergency department with complaint of resolved left-sided facial...

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Detalles Bibliográficos
Autores principales: Sanjeevan-Cabeza, Irina, Oakland, Morgan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7434277/
https://www.ncbi.nlm.nih.gov/pubmed/32926695
http://dx.doi.org/10.5811/cpcem.2020.4.46799
Descripción
Sumario:INTRODUCTION: Pneumocephalus (PNC) is most commonly associated with trauma or intracranial surgery, less commonly secondary to an infectious source, and is rarely caused by barotrauma. CASE REPORT: A 32-year-old woman presented to the emergency department with complaint of resolved left-sided facial droop and a lingering paresthesia of her left upper extremity after a cross-country flight. Computed tomography demonstrated several foci of air in the subdural space consistent with PNC. CONCLUSION: For PNC to occur there must be a persistent negative intracranial pressure gradient, with or without an extracranial pressure change. In this case the pressure change occurred due to cabin pressure.

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