PDF(Pubmed)
Abstract：
We report a case of a 30-year-old man who presented with altered mental status, fever, headache and vomiting for 3 days. An initial CT scan of the brain revealed the presence of pneumocephalus with a bony defect in the anterior cranial fossa. The pneumocephalus was not explained initially and the patient was re-examined for any signs of trauma to the face, and a review of the history revealed a series of three traumatic events months prior to this illness. Further laboratory studies revealed Streptococcus pneumoniae in the blood and bacterial meningitis. He was treated with antibiotics and was later taken up for endoscopic repair of the skull base defect. This case highlights the importance of recognising post-traumatic pneumocephalus with superimposed meningitis and sepsis months after a traumatic event to the skull base.
摘要：
我们报告了一个30岁的男性，他的精神状态改变了，发烧,头痛和呕吐3天。最初的脑部CT扫描显示，前颅窝有骨缺损的存在。最初没有解释气颅的原因，患者接受了重新检查，是否有任何面部外伤的迹象，对病史的回顾显示，在这种疾病发生前几个月发生了一系列的三个创伤性事件。进一步的实验室研究显示血液中的肺炎链球菌和细菌性脑膜炎。他接受了抗生素治疗，后来被用于内窥镜修复颅底缺损。此病例强调了在颅底创伤事件发生数月后认识到合并脑膜炎和败血症的创伤后脑外伤的重要性。
