World journal of pediatrics : WJP · 2008
Tension pneumocranium in childhood trauma.
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Gill Hardeep Singh, van As Arjan Bastiaan
Аннотация
BACKGROUND: To report a case of fatal tension pneumocephalus in a 9-year-old boy following a severe motor vehicle accident.
METHODS: A young boy with a serious closed head injury was resuscitated in the emergency room and underwent CT scan of the head and orbits.
RESULTS: The CT-scan revealed a fracture of the orbital roof with extensive bilateral pneumocephalus.
CONCLUSIONS: A high index of suspicion for tension pneumocephalus is required in patients with severe head injuries presenting with periorbital swelling and perioccular trauma. A prompt CT scan and neurosurgical intervention are indicated.
METHODS: A young boy with a serious closed head injury was resuscitated in the emergency room and underwent CT scan of the head and orbits.
RESULTS: The CT-scan revealed a fracture of the orbital roof with extensive bilateral pneumocephalus.
CONCLUSIONS: A high index of suspicion for tension pneumocephalus is required in patients with severe head injuries presenting with periorbital swelling and perioccular trauma. A prompt CT scan and neurosurgical intervention are indicated.