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Here is another interesting case that appeared in the Images in Clinical Medicine section of the New England Journal of Medicine a short while ago.

A healthy 54-year-old woman presented with progressive abnormal acoustic sensations, aphasia, and visual-field disturbances. She reported no head trauma or recent infection, such as otitis media. An initial cranial radiograph revealed air in the left temporal region without evidence of a fracture (Panel A, arrow). A computed tomographic scan of the head showed a large amount of air in the left temporal lobe; the involved area was approximately 4 cm by 3 cm by 5 cm (Panel B, arrow).

Source/Further reading:

• The original NEJM article
• Pneumocephalus definition
  
• A case of dural puncture
• Pneumocephalus caused by Valsalva’s maneuver
• TomographyBlog.com Forum

- Andras

Tags: pneumocephalus