Dominic Chau, Zachary R Barnard, Thomas J Muelleman, Adam M Olszewski, Anna K D'Agostino, Marcel M Maya, Peyton Nissen, Kevin A Peng, Wouter I Schievink, Gregory P Lekovic
BACKGROUND: Cranial and spinal cerebrospinal fluid (CSF) leaks are associated with opposite CSF fluid dynamics. The differing pathophysiology between spontaneous cranial and spinal CSF leaks are, therefore, mutually exclusive in theory. OBSERVATIONS: A 66-year-old female presented with tension pneumocephalus. The patient underwent computed tomography (CT) scanning, which demonstrated left-sided tension pneumocephalus, with an expanding volume of air directly above a bony defect of the tegmen tympani and mastoideum...
September 11, 2023: J Neurosurg Case Lessons