Pneumocephalus resulting from traumatic pneumothorax and brachial plexus avulsion

IF 1.5 Q2 MEDICINE, GENERAL & INTERNAL

Acute Medicine & Surgery Pub Date : 2024-05-16 DOI:10.1002/ams2.956

Naoki Date, Hiroshi Hamakawa, Ichiro Sakanoue, Tomoki Saito, Yutaka Takahashi

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Abstract

Background

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.

Case Presentation

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.

Conclusion

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.

Abstract Image

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外伤性气胸和臂丛神经撕脱导致的气胸

背景创伤性气胸常见于颅底骨折，很少与钝性胸部创伤有关。在此，我们报告了一例由外伤性气胸和臂丛神经撕脱引起的气胸。病例介绍一名 20 岁的男性因摩托车事故导致右上肢完全瘫痪而入院。2 天后，随访的计算机断层扫描显示患者有轻微的右侧气胸、颈部周围的气胸和颅内积气，但无颅骨骨折。空气通过臂丛神经撕脱造成的硬脑膜撕裂进入蛛网膜下腔。插入胸腔引流管后，气胸立即好转。结论气胸合并臂丛神经撕脱可导致气胸。立即进行胸腔引流可能是阻止空气移位的最佳方法，但应注意不要加重脑脊液漏。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acute Medicine & Surgery MEDICINE, GENERAL & INTERNAL-

自引率

12.50%

发文量

审稿时长

53 weeks