Sinus barotrauma leading to extradural muco-pneumocephalus.
An amateur scuba (Self Contained Underwater Breathing Apparatus) diver experienced an acute frontal headache following a low-depth dive. After 12 hours of worsening and unremitting headache, CT and MRI imaging were performed; these revealed gas and mucous in the frontal sinus and extradural space. This appears to be the first case of MRI-documented barotrauma of the frontal and ethmoidal sinuses resulting in extradural pneumo- and muco-cephalus.
Departments of Neurosurgery, The National Hospital, London UK.
Chandramohan
C
Murugesan
Michael
M
Powell
Hesham Bin
HB
Khayal
D001469:Barotrauma / Q000150:complications* / Q000175:diagnosis; D004242:Diving / Q000009:adverse effects* / Q000293:injuries; D005005:Ethmoid Sinus / Q000293:injuries*; D005626:Frontal Sinus / Q000293:injuries*; D006261:Headache / Q000209:etiology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009093:Mucus; D009325:Nausea / Q000209:etiology; D011007:Pneumocephalus / Q000175:diagnosis / Q000209:etiology*; D014057:Tomography, X-Ray Computed; D014839:Vomiting / Q000209:etiology; D055815:Young Adult