• Pediatric neurosurgery · May 2001

    Case Reports

    Pneumocephalus secondary to a neck stab wound without neurologic injury in a 13-year-old girl.

    • G Bunc, Z Roskar, and M Vorsic.
    • Department of Neurosurgery, Maribor Teaching Hospital, Maribor, Slovenia. gorazd.bunc@siol.net
    • Pediatr Neurosurg. 2001 May 1;34(5):239-41.

    AbstractPneumocephalus is usually caused by injury that damages the brain meninges and thus allows air to enter the intracranial cavity. Our intention was to establish the importance of considering a stab wound in the neck as a possible cause of traumatic pneumocephalus. The paper presents the case of a 13-year-old girl who was accidentally stabbed in the neck with a kitchen knife by her brother. She had no neurological deficit but had developed headaches. An examination showed cerebrospinal fluid leaking from the neck wound and a CT scan revealed the pneumocephalus. Following surgical treatment, the patient's clinical symptoms regressed. To our knowledge, this case is the first report of the manifestation of pneumocephalus as the result of a neck stab wound in a child; overall, there are only three reported cases of pneumocephalus caused by a neck stab wound.Copyright 2001 S. Karger AG, Basel

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