Spontaneous Epidural Pneumocephalus
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概要
- 論文の詳細を見る
A 20-year-old male presented with an extremely rare spontaneous epidural pneumocephalus which was successfully treated by a single neurosurgical intervention. The patient had a habit of nose blowing and a 1-year history of progressive headache and nausea. Cranial computed tomography (CT) revealed a 2×7cm right temporo-occipital epidural pneumocephalus with extensive hyperpneumatization of the mastoid cells. Right temporo-occipital craniotomy with a right superficial temporal artery and vein flap repair resulted in radiographic resolution of the pneumocephalus, and he remained neurologically free of symptoms at 1-year follow-up examination. Early identification and monitoring of symptomatic pneumocephalus followed by decompression and prevention of infection via closure of the bone defect can avoid possible serious consequences. The underlying mechanisms may involve a congenital petrous bone defect and a ball-valve effect due to excessive nose blowing in our case.
- 2008-10-15
著者
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MIYAKE Hiroji
Nishinomiya Kyoritsu Neurosurgical Hospital
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TSUJI Masao
Nishinomiya Kyoritsu Neurosurgical Hospital
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UKITA Tohru
Nishinomiya Kyoritsu Neurosurgical Hospital
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TUCKER Adam
Nishinomiya Kyoritsu Neurosurgical Hospital
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OHMURA Takehisa
Nishinomiya Kyoritsu Neurosurgical Hospital
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Miyake Hiroji
Department Of Neurosurgery Osaka Medical College
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TSUJI Masao
Department of Biotechnology, Graduate School of Engineering, Osaka University
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TUCKER ADAM
Department of Surgery, Tokai University School of Medicine
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UKITA Tohru
Department of Neurological Surgery, Nishinomiya Kyoritsu Neurosurgical Hospital
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NISHIHARA Kentaro
Department of Neurological Surgery, Nishinomiya Kyoritsu Neurosurgical Hospital
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ITO Seiko
Department of Neurological Surgery, Nishinomiya Kyoritsu Neurosurgical Hospital
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OHMURA Takehisa
Department of Neurological Surgery, Nishinomiya Kyoritsu Neurosurgical Hospital
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Tucker Adam
Department Of Surgery Tokai University School Of Medicine
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Ito Seiko
Department Of Medical Genetics Institute Of Basic Medical Sciences Institute Of Clinical Medicine Un
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Ito Seiko
Department Of Neurological Surgery Nishinomiya Kyoritsu Neurosurgical Hospital
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Nishihara Kentaro
Department Of Neurological Surgery Nishinomiya Kyoritsu Neurosurgical Hospital
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MIYAKE Hiroji
Department of Neurological Surgery, Nishinomiya Kyoritsu Neurosurgical Hospital
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