PDF(Pubmed)
Abstract：
UNASSIGNED: Traumatic pneumocephalus is commonly encountered after basal skull fractures and rarely associated with blunt chest trauma. Here, we report a case of pneumocephalus caused by traumatic pneumothorax and brachial plexus avulsion.
UNASSIGNED: A 20-year-old male was admitted to our hospital following a motorcycle accident with complete paralysis of the right upper limb. 2 days later, follow-up computed tomography revealed a slight right pneumothorax, pneumomediastinum around the neck, and intracranial air without skull fracture. Air migrates into the subarachnoid space through a dural tear caused by a brachial plexus avulsion. The pneumocephalus immediately improved after the insertion of a chest drain.
UNASSIGNED: Pneumothorax combined with brachial plexus avulsion could lead to pneumocephalus. Immediate chest drainage might be the best way to stop the migration of air; however, care should be taken to not worsen cerebrospinal fluid leakage.
UNASSIGNED: A 20-year-old male was admitted to our hospital following a motorcycle accident with complete paralysis of the right upper limb. 2 days later, follow-up computed tomography revealed a slight right pneumothorax, pneumomediastinum around the neck, and intracranial air without skull fracture. Air migrates into the subarachnoid space through a dural tear caused by a brachial plexus avulsion. The pneumocephalus immediately improved after the insertion of a chest drain.
UNASSIGNED: Pneumothorax combined with brachial plexus avulsion could lead to pneumocephalus. Immediate chest drainage might be the best way to stop the migration of air; however, care should be taken to not worsen cerebrospinal fluid leakage.
摘要：
■外伤性气颅常见于颅底骨折后，很少与钝性胸部创伤相关。这里,我们报告了1例由创伤性气胸和臂丛神经撕脱引起的气颅。
■一名20岁的男性因摩托车事故右上肢完全瘫痪而入院。两天后,随访计算机断层扫描显示轻微的右侧气胸，颈部周围的纵隔气肿，颅内空气没有颅骨骨折.空气通过臂丛神经撕脱引起的硬脑膜撕裂迁移到蛛网膜下腔。插入胸腔引流器后，气颅立即得到改善。
■气胸合并臂丛撕脱可导致气颅。立即胸腔引流可能是阻止空气迁移的最佳方法；然而，应注意不要加重脑脊液漏。
■一名20岁的男性因摩托车事故右上肢完全瘫痪而入院。两天后,随访计算机断层扫描显示轻微的右侧气胸，颈部周围的纵隔气肿，颅内空气没有颅骨骨折.空气通过臂丛神经撕脱引起的硬脑膜撕裂迁移到蛛网膜下腔。插入胸腔引流器后，气颅立即得到改善。
■气胸合并臂丛撕脱可导致气颅。立即胸腔引流可能是阻止空气迁移的最佳方法；然而，应注意不要加重脑脊液漏。
