Abstract:
INTRODUCTION:Acute hydrocephalus is a common complication of spontaneous or traumatic intracranial bleeding with extensive subarachnoid hemorrhage (SAH) or ventricular extension. However, it has never been reported to be secondary to pneumocephalus. PATIENT CONCERNS:A 32-year-old man was admitted following a motorcycle accident. Head computed tomography (CT) performed right after the accident revealed a skull base fracture and mild perimesencephalic SAH. Three days later, repeated CT revealed delayed perimesencephalic pneumocephalus and an evident enlargement of the ventricular system. DIAGNOSIS:The patient was diagnosed with acute obstructive hydrocephalus, which was secondary to pneumocephalus and traumatic SAH. INTERVENTIONS:The patient was treated with temporary external ventricular drainage (EVD). OUTCOMES:The patient experienced an unremarkable recovery process. At follow-up 3 months later, he showed no recurrence of the hydrocephalus and the score of Glasgow Outcome Scale was 5. CONCLUSION:Transient mechanical obstruction of CSF circulation and disturbance of CSF physiology might conjointly lead to the acute obstructive hydrocephalus.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Li G,Wang G,Luan T,Hou K,Yu Jdoi
10.1097/MD.0000000000018654subject
Has Abstractpub_date
2020-01-01 00:00:00pages
e18654issue
5eissn
0025-7974issn
1536-5964pii
00005792-202001310-00017journal_volume
99pub_type
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