Pneumocephalus due to meningitis extending from sphenoid sinusitis: Case report and review of literatures

Pneumocephalus induced by meningitis extending from sphenoid sinusitis is rare. We describe the radiological and clinical characterisitics of pneumocephalus induced by meningitis in our case and previously reported cases. A 21‐year‐old man experienced headache and fever. Radiological examination rev...

Full description

Saved in:
Bibliographic Details
Published inNeurology and clinical neuroscience Vol. 7; no. 3; pp. 107 - 111
Main Authors Nomura, Motohiro, Baba, Eiichi, Shirokane, Kazutaka, Tsuchiya, Atsushi
Format Journal Article
LanguageEnglish
Published Tokyo Wiley Subscription Services, Inc 01.05.2019
Subjects
Antibiotics
Bacteria
Case reports
Cerebrospinal fluid
computed tomography
Fever
Headache
Intravenous administration
Leukocytes (neutrophilic)
Meningitis
pneumocephalus
Sinus
Sinusitis
sphenoid sinus
Traumatic brain injury
Online AccessGet full text

Cover

More Information
Summary:Pneumocephalus induced by meningitis extending from sphenoid sinusitis is rare. We describe the radiological and clinical characterisitics of pneumocephalus induced by meningitis in our case and previously reported cases. A 21‐year‐old man experienced headache and fever. Radiological examination revealed intracranial air and fluid collection in the sphenoid sinus. Examination of cerebrospinal fluid revealed increased neutrophils and decreased glucose, indicating meningitis. No bacteria were detected by culture. The intravenous administration of antibiotics improved his symptoms and radiological abnormalities. In this case, pneumocephalus was considered to have been induced by bacteria invading from the sphenoid sinus. The review of eight cases including ours revealed that good outcome may be expected in a cases for prompt treatment is performed. In patients with pneumocephalus and meningitis extending from sphenoid sinusitis, prompt treatment using antibiotics is necessary.
ISSN:2049-4173
2049-4173
DOI:10.1111/ncn3.12276