Subdural and intraventricular traumatic tension pneumocephalus: Case report

Simple pneumocephalus most frequently arises as a complication of a head in jury in which a compound basal skull fracture with tearing of the meninges allows entry of air into the cranial cavity. It can also follow a neurosurg ical operation. Tension traumatic pneumocephalus with intraventricular exte nsion is an extremely rare, potentially lethal condition that requires prom pt diagnosis and treatment. We report the case of subdural and intraventric ular accidental tension pneumocephalus occurring in a 26-year-old man as a result of skull fracture. This case is combined with rhinorrhea and meningi tis that suggest some difficulties to treat. The operative procedure associ ated with medical treatment was performed and a good result was obtained.