On The Wards: On The Wards » Blog Archive » Image of A True Airhead (Pneumocephalus)
Jodith
· 1 year ago
I have to admit, pneumocephalus is something I have never even thought about existing before. Hydrocephalous and of course bleeds in the brain. But air just kind of blows my mind.
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· 1 year ago
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wardslave
· 1 year ago
There are also other instances of air acting as a foreign body. Air in the chest cavity can cause a pneumothorax, and air in the blood are termed "air emboli". Prophylaxis against the latter is the reason syringes are flushed prior to injection (this is frequently seen on television, when the mad professor holds the syringe vertically and squirts out a few milliliters of toxin prior to injecting his victim).
An interesting aspect of this case is that a source for the air has not been definitively identified, although the mastoid bone defect would be a plausible point of entry. The report did not comment on leaking CSF (cerebrospinal fluid), particularly with the increase in intracranial pressure (ICP) generated by the air mass. On the other hand, it is possible that miniscule amounts of CSF in the mastoid cavities would be difficult to detect amid all the blood and CSF draining everywhere during neurosurgery.
Steve Kirk
· 1 year ago
When I learn to pronounce this diagnosis, I have a few friends I want to try it out on. Also, I have a few acquaintances who may well suffer from this malady as they certainly exhibit some of the behavioral symptoms.Very interesting post.
Ferox
· 1 year ago
That would have been a very satisfying xray to have taken
All Comments
An interesting aspect of this case is that a source for the air has not been definitively identified, although the mastoid bone defect would be a plausible point of entry. The report did not comment on leaking CSF (cerebrospinal fluid), particularly with the increase in intracranial pressure (ICP) generated by the air mass. On the other hand, it is possible that miniscule amounts of CSF in the mastoid cavities would be difficult to detect amid all the blood and CSF draining everywhere during neurosurgery.
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