Author/Authors :
Pishbin، Elham نويسنده Department of Emergency Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran , , Azarfardian، Neda نويسنده Emergency Department, Imam Reza Hospital, Mashhad
University of Medical Sciences (MUMS), Mashhad, IR
Iran , , Salarirad، Mohsen نويسنده Emergency Department, Imam Reza Hospital, Mashhad
University of Medical Sciences (MUMS), Mashhad, IR
Iran , , Ganjeifar، Babak نويسنده Department of Neurosurgery, School of Medicine, Emdadi Hospital, Mashhad University of Medical Sciences, Mashhad, Iran. Ganjeifar, Babak
Abstract :
Spontaneous pneumocephalus without any pathological condition is very rare. We described a patient with spontaneous pneumocephalus probably arising from the relatively enlarged air-filling sphenoid sinus. A 51-year-old woman admitted Imam Reza Hospital, Mashhad, Iran with a sudden onset of severe headache and nausea without any neurological deficit. Brain computed tomography (CT) scan was performed to role out any pathology in the brain. Brain CT revealed large ethmoidal and sphenoid sinuses and disseminated intracranial pneumocephalus. A Cerebrospinal Fluid (CSF) examination was performed to rule out meningitis. Further evaluation confirmed a small defect in the sphenoid sinus. She has no recurrent headache or other symptoms after about six-month follow-up. An extremely rare condition, a spontaneous intracranial pneumocephalus with skull base defect origin could be considered as a possible diagnosis in patients with sudden and severe headache. We can safely conclude that medical treatment and close follow-up is an effective mode of therapy in this patient
