J Korean Ophthalmol Soc.
2002 Dec;43(12):2614-2617.
A Case of Pneumocephalus Following Facial Trauma Pneumocephalus
- Affiliations
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- 1Department of Ophthalmology, College of Medicine, Hallym University, Korea. smcheol0@hanmail.net
- 2Department of Radiology, College of Medicine, Hallym University, Korea.
Abstract
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PURPOSE: To describe a patient who developed left subconjunctival air and pneumocephalus without definite finding of skull fracture after facial trauma.
METHODS
A 16-year-old man developed headache, upper eyelid swelling and decreased visual acuity after facial trauma. Ophthalmic examinations revealed left subconjunctival hemorrhage, air and corneal abrasion. Computed tomography and simple X-ray showed huge orbital emphsema. It extends into the left posterior sclera, around the optic nerve and optic canal. Diagnosis of pneumocephalus of basal cistern with no bony fracture of face, orbits and skull was made.
RESULTS
In clinical practice, physician should be kept in mind that the possibility of pneumocephalus resulted from orbital or subconjunctival emphysema through optic nerve sheath in case of no definite evidence of basal skull fractures.
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