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Spontaneous acute subdural haematoma caused by tension pneumocephalus
1Unit of Neurosurgery, Joan XXIII University Hospital, Tarragona, Spain. wessling@hjxxiii.scs.es
Abstract:
We describe the first case of spontaneous acute subdural haematoma (SASH) caused by tension pneumocephalus in a patient who had undergone surgery for sinusitis followed by meningitis many years previously. The patient presented with a seizure and epistaxis. The haematoma was caused by a torn bridging vein. Tension pneumocephalus has to be added to the list of possible causes for SASH.
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