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Case Reports in Otolaryngology
Volume 2017, Article ID 7878646, 3 pages
https://doi.org/10.1155/2017/7878646
Case Report

Pneumocephalus Following Self-Inflicted Penetrating Brain Injury

1Department of Otorhinolaryngology-Head and Neck Surgery, Keelung Chang Gung Memorial Hospital, Keelung City, Taiwan
2Department of Otorhinolaryngology-Head and Neck Surgery, Lotung Poh-Ai Hospital, Yilan County, Taiwan
3Department of Otorhinolaryngology-Head and Neck Surgery, Linkou Chang Gung Memorial Hospital, Chang Gung University, Taoyuan City, Taiwan

Correspondence should be addressed to Chia-Chen Wu; wt.gro.hmgc@uwybur

Received 29 April 2017; Revised 10 August 2017; Accepted 20 August 2017; Published 26 September 2017

Academic Editor: Rong-San Jiang

Copyright © 2017 Che-Fang Ho et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. Pneumocephalus is a rare complication that often occurs after traumatic skull base injury, leading to morbidity and mortality. Material and Method. We present the case of a 42-year-old healthy man who injured himself when he stuck a metal stick into his left nasal cavity to relieve prolonged nasal obstruction. Immediate cerebrospinal fluid rhinorrhea and subsequent meningitis and pneumocephalus occurred later. He was presented at our hospital with fever and meningeal signs. Result. Computed tomography scans revealed left rhinosinusitis and air collection in the subarachnoid space. The patient received the conservative treatment of bed rest, intravenous hydration, head elevation, and broad-spectrum intravenous antibiotics. Pneumocephalus and meningitis resolved without any surgery, and he experienced no other sequela or complication. Conclusion. Pneumocephalus is a rare incidence and can lead to high morbidity and mortality. Prompt diagnosis and adequate treatment of pneumocephalus and meningitis proved beneficial for our patient who recovered without any complication or surgery.