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Osteopathic Manipulative Treatment as a Useful Adjunctive Tool for Pneumonia
Published on: May 6, 2014
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Iatrogenic Pneumocephalus Resolved by Oxygen Therapy.
Sambhawana Bhandari1, Maun R Baral1, Mingwei Yu1
1Internal Medicine, Danbury Hospital, Nuvance Health, Danbury, USA.
Cureus
|December 29, 2021
Summary
Headaches after cervical epidural injections can stem from iatrogenic pneumocephalus. Normobaric oxygen therapy effectively resolved intracranial pneumocephalus in a patient, highlighting its therapeutic potential.
Area of Science:
- Neurology
- Radiology
- Anesthesiology
Background:
- Cervical epidural injections are common procedures for chronic neck pain.
- Headaches post-procedure can be attributed to complications like dural puncture and iatrogenic pneumocephalus.
Observation:
- A 50-year-old woman experienced a severe headache at the base of her skull after a cervical epidural injection.
- Symptoms included nausea, vomiting, and photophobia, with no fever or neck rigidity.
- Head CT revealed pneumocephalus in the ventricular and subarachnoid spaces.
Findings:
- Normobaric oxygen therapy was initiated using a non-rebreather mask.
- The patient's intracranial pneumocephalus completely resolved within 48 hours, confirmed by repeat CT.
- This suggests normobaric oxygen is an effective treatment for intracranial pneumocephalus.
Implications:
- Normobaric oxygen therapy presents a viable, non-invasive treatment for iatrogenic pneumocephalus.
- This approach may reduce the need for more invasive interventions.
- Further research can explore the optimal delivery methods and efficacy across diverse patient populations.
Keywords:
cervical epidural injection and pneumocephalusiatrogenic pneumocephalusnormobaric oxygen for pneumocephalusoxygen therapy for pneumocephaluspneumocephalusMore Related Videos
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