Traumatic Tension Pneumocephalus in a 16 month old child: case report and review of the literature.
Keywords:Child, Mount Fuji sign, Non-surgical treatment, Traumatic tension pneumocephalus
Traumatic Tension Pneumocephalus(TTP) is very rare in children. It occurs most often as a result of temporal or basal skull fracture, and may cause neurological deterioration. CT scan findings are considered pathognomonic. A 16-month-old girl presented with unstable vital signs and a single seizure episode after being struck by a reversing car. A day later she developed rhinorrhea and a high grade fever. CT of the brain demonstrated a Mount Fuji sign. Her neurological status remained essentially normal. She was managed non-operatively and was discharged uneventfully eight days after the accident. In selected paediatric cases, TTP may be managed non-operatively.
2. Kankane VK, Jaiswal G, Gupta TK. Posttraumatic delayed tension pneumocephalus: Rare case with review of literature. Asian J Neurosurg. 2016 Oct-Dec;11(4):343-347. Review. PubMed PMID: 27695534; PubMed Central PMCID: PMC4974955.
3. Steudel, W.I. & Hacker, H. Acute intracranial peumocephalus: Prognosis and management â€“ a retrospective analysis of 101 cases. Neurosurg. Rev. (1989) 12(Suppl 1): 125. https://doi.org/10.1007/BF01790635
4. Pillai P, Sharma R, MacKenzie L, Reilly EF, Beery PR 2nd, Papadimos TJ, Stawicki SP. Traumatic tension pneumocephalus - Two cases and comprehensive review of literature. Int J Crit Illn Inj Sci. 2017 Jan-Mar;7(1):58-64. doi: 10.4103/IJCIIS.IJCIIS_8_17. Review. PubMed PMID: 28382259; PubMed Central PMCID: PMC5364769.
5. Dabdoub CB, Salas G, Silveira Edo N, Dabdoub CF. Review of the management of pneumocephalus. Surg Neurol Int. 2015 Sep 29;6:155. doi: 10.4103/2152-7806.166195. eCollection 2015. PubMed PMID: 26500801; PubMed Central PMCID: PMC4596054.
6. Gill HS, van As AB. Tension pneumocranium in childhood trauma. World J Pediatr. 2008 Aug;4(3):231-3. doi: 10.1007/s12519-008-0043-5. PubMed PMID: 18822935.
7. https://www.google.com/search?q=TENSION+PNEUMOCRANIUM%3A+THE+LARGEST+CASE+SERIES&rlz=1C1GCEU_enBW821BW821&oq=TENSION+PNEUMOCRANIUM%3A+THE+LARGEST+ CASE+SERIES&aqs=chrome..69i57j69i60.1575j0j8&sourceid=chrome&ie=UTF-8
8. Martin RJ, Holthouse DJ, Wayne TG. Localising the source of pneumocephalus: a diagnostic problem. J Clin Neurosci. 2002 Mar;9(2):216-8. PubMed PMID: 11922721.