Intracerebral pneumatocele presenting after air travel

Raman C. Mahabir, Artur Szymczak, Garnette R. Sutherland

Research output: Contribution to journalArticle

34 Scopus citations

Abstract

In this report the authors discuss a patient who experienced symptoms of an acute right frontal, intraparenchymal pneumatocele while on an airplane descending to an international airport. This rare complication of an ethmoid sinus osteoma that eroded upward through the dura mater is described along with a literature review. A persistent headache and inappropriate behavior consistent with a frontal lobe syndrome brought the patient to clinical and imaging evaluation, which revealed a large right frontal lobe pneumatocele and an associated ethmoid sinus osteoma extending upward into the frontal lobe. Through a right frontal craniotomy, the air cavity was evacuated, the osteoma partially excised, and the dural defect closed using a vascularized pericranial flap. Postoperatively, the patient made an unremarkable recovery. For patients with air sinus osteomas extending into the cranial cavity, air travel or other barotrauma may result in a life-threatening tension pneumatocele.

Original languageEnglish (US)
Pages (from-to)340-342
Number of pages3
JournalJournal of neurosurgery
Volume101
Issue number2
DOIs
StatePublished - Aug 2004

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Keywords

  • Air travel
  • Cerebrum
  • Osteoma
  • Parenchymal lesion
  • Pneumatocele

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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