[Spontaneous otogenic pneumocephalus].
Otogenic pneumocephalus is uncommon. Typical causes include trauma, tumor, infection, and nasosinusal or mastoid surgery but spontaneous otogenic pneumocephalus is very exceptional. We report a case of spontaneous otogenic pneumocephalus located in the left temporal lobe revealed by sudden onset aphasia. The temporal pneumatocele was cured through an epidural subtemporal approach with needle puncture of the aeroma and duroplasty. Two years after surgery, no recurrence was observed and the patient remained symptom free.
Bahloul
K
K
Service de Neurochirurgie, Hôpital Beaujon, AP-HP, Faculté X-Bichat, Université Paris-7, Clichy.
Kalamarides
M
M
Bouccara
D
D
Sterkers
O
O
Rey
A
A
D001037:Aphasia / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011007:Pneumocephalus / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D013702:Temporal Lobe / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome