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CSF fistula and tension pneumatocele 22 years after head injury
J Schiffer1, S Sarfaty, R Milo
1Department of Neurosurgery, Assaf Harofeh Medical Center, Zerifin, Israel.
Neurochirurgia
|November 1, 1988
Abstract:
An unusual case of CSF fistula and tension pneumatocele developing in a patient 22 years after a severe craniocerebral injury is reported. The patient had been asymptomatic during this long interval, but immediately after a minor head trauma massive rhinorrhea and diffuse pneumocephalus occurred. This was followed by the development of bifrontal tension pneumatocele with intracranial hypertension and neurological deterioration. The patient recovered after closure of the CSF fistula. The pathophysiological mechanism of this rare condition and the pertinent treatment are discussed.