• World J Pediatr · Aug 2008

    Case Reports

    Tension pneumocranium in childhood trauma.

    • Hardeep Singh Gill and Arjan Bastiaan van As.
    • Trauma Unit, Department of Pediatric Surgery, Trauma Unit Red Cross War Memorial Children's Hospital, Red Cross War Memorial Children's Hospital, University of Cape Town, Cape Town, South Africa.
    • World J Pediatr. 2008 Aug 1; 4 (3): 231-3.

    BackgroundTo report a case of fatal tension pneumocephalus in a 9-year-old boy following a severe motor vehicle accident.MethodsA young boy with a serious closed head injury was resuscitated in the emergency room and underwent CT scan of the head and orbits.ResultsThe CT-scan revealed a fracture of the orbital roof with extensive bilateral pneumocephalus.ConclusionsA high index of suspicion for tension pneumocephalus is required in patients with severe head injuries presenting with periorbital swelling and perioccular trauma. A prompt CT scan and neurosurgical intervention are indicated.

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