Iatrogenic pneumocephalus secondary to intravenous catheterization. Case report.
The presence of pneumocephalus in a patient without a history of undergoing intracranial or intrathecal procedures is a significant radiographic finding that portends a violation of the dural barrier or the presence of infection. The authors report a case of iatrogenic pneumocephalus that confounded the evaluation of a patient with unrelated neurological disorders, resulting in unnecessary transfer of the patient and utilization of medical resources. A review of 100 sequential computerized tomography scans obtained in patients for any indication in the emergency department revealed a 6% incidence of iatrogenic intravenous pneumocephalus. Computerized tomography scans revealing pneumocephalus had been obtained for altered mental status, focal motor deficit, seizure, and trauma. More careful intravenous catheterization and recognition of the condition on imaging may avoid similar problems.
Thompson
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Department of Neurological Surgery, University of Pittsburgh School of Medicine, Pennsylvania, USA. Thompo@neuronet.pitt.edu
Levy
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Kanal
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Lunsford
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D002406:Catheterization, Peripheral / Q000009:adverse effects*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D015994:Incidence; D008875:Middle Aged; D011007:Pneumocephalus / Q000000981:diagnostic imaging* / Q000453:epidemiology / Q000209:etiology*; D011446:Prospective Studies; D014057:Tomography, X-Ray Computed