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- W2321824052 abstract "Objective: The objective of the study was to outline the demographic, clinical, and radiologic features of traumatic pneumocephalus (TP) and to establish the parameters that may be associated with morbidity and mortality. Methods: A total of 73 TP patients (16 females, 57 male) with an average age of 32 years (range, 2 to 80 y) treated conservatively in the neurosurgery department of a tertiary care center were included in the study. Demographics, etiology, and location of TP, site of cranial fractures, occurrences of rhinorrhea, otorrhea, and meningitis, Glasgow Coma Scale, duration of hospitalization, and other parameters related to morbidity and mortality were investigated. Results: The most common cause of TP was traffic accidents (38.4%), and frontal (47.9%) and temporal (35.7%) lobes were affected most frequently. Incidences of meningitis and convulsion after TP were 8.4% and 12.3%, respectively. Otorrhea/rhinorrhea accompanied 80% of TP cases with meningitis, and patients with meningitis seemed to be hospitalized for a longer period. The mortality rate was 20% in TP patients with meningitis. In two thirds of cases, pneumocephalus was detected in epidural-subdural-subarachnoid or subarachnoid-intraparenchymal locations. Subdural hemorrhage and contusion accompanied TP in 22% of our patients. Conclusions: Our results indicate that TP can be treated medically in a vast majority of patients. Precautions and effective treatment against meningitis is crucial for minimizing morbidity and mortality in TP. Regression of pneumocephalus and recovery in terms of the neurological state can be followed closely with the Glasgow Coma Scale." @default.
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- W2321824052 date "2015-05-01" @default.
- W2321824052 modified "2023-10-18" @default.
- W2321824052 title "Pneumocephalus After Traumatic Head Injury" @default.
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- W2321824052 doi "https://doi.org/10.1097/wnq.0000000000000037" @default.
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