Tension pneumocephalus occurs when a continuous flow of air accumulates in the intracranial cavity and produces a mass effect on the brain. We describe a case in which tension pneumocephalus was caused by the performance of continuous lumbar CSF drainage in a middle-aged man who had experienced a temporal bone fracture. Continuous lumbar CSF drainage is commonly performed in patients with temporal bone or basilar skull fractures to treat concomitant post-traumatic CSF rhinorrhea, CSF otorrhea, and/or hydrocephalus. However, to the best of our knowledge, there has been no previously reported case of tension pneumocephalus occurring as a complication of this procedure in a patient with a temporal bone fracture.
LewinW.Cerebrospinal fluid rhinorrhoea in closed head injuries. Br J Surg1954;42(171):1–18.
4.
MarkhamJW. The clinical features of pneumocephalus based upon a survey of 284 cases with report of 11 additional cases. Acta Neurochir (Wien)1967;16(1):1–78.
5.
DowdGC, MolonyTB, VoorhiesRM. Spontaneous otogenic pneumocephalus. Case report and review of the literature. J Neurosurg1998;89(6):1036–9.
6.
HorowitzM.Intracranial pneumocoele: An unusual complication following mastoid surgery. J Laryngol Otol1964;78:128–34.
7.
LunsfordLD, MaroonJC, SheptakPE, AlbinMS. Subdural tension pneumocephalus. Report of two cases. J Neurosurg1979;50(4):525–7.
8.
OsbornAG, DainesJH, WingSD, AndersonRE. Intracranial air on computerized tomography. J Neurosurg1978;48(3):355–9.
