Spontaneous intracranial epidural accumulation of air in a patient with excessive skull pneumatization
Stachura, Z.; Zralek, C.; Kiczka-Zralek, M.; Wajgt, A.; Smok, M.; Karmański, A.; Karmańska, B.
Neurologia i Neurochirurgia Polska 34(6): 1281-1286
2000
ISSN/ISBN: 0028-3843 PMID: 11317504 Document Number: 523109
We report a rare case of spontaneous epidural accumulation of air in the occipital region resulting from an unusual hyperpneumatization of the cranium in a 37-year-old miner. For suspected subarachnoid haemorrhage the patient was admitted to neurological department. Performed computed tomography (CT) revealed extensive hyperpneumatization of the cranium, involving also the upper part of the cervical vertebral column, and epidural pneumocephalus. To the authors knowledge, so much pneumatization of the cranium seems to be very rare and when present, however, can cause spontaneous pneumocephalus. Based on the two years follow-up of this patient, conservative therapy showed to be sufficient for him, despite this, we have suggested him periodically perform CT of the head.