Pneumocephalus with gas-fluid level

Case contributed by Narek Matinyan , 17 Mar 2018
Diagnosis certain
Changed by Henry Knipe, 18 Mar 2018

Updates to Case Attributes

Title was changed:
Pneumo-hydrocephalusPneumocephalus with air-fluid level
Status changed from pending review to published (public).
Published At was set to .
Presentation was changed:
A 70-year-old lady with chronicChronic headaches and dizziness, who had a car accident 15 years ago.
Body was changed:

The patient was in a car accident 15 years ago but didn'tdid not attend any hospital. During these years she didn'tdid not undergo any diagnostic examinations, either.   MRMRI examination showed a collection of gas (air) and fluid in the right hemisphere, which is presumed to be a chronic process due to the absence of the surrounding edema. The CT scan showed a fracture of the ethmoid wall and the medial wall of the right orbit, which is the likely entry if site of gas

  • -<p>The patient was in a car accident 15 years ago but didn't attend any hospital. During these years she didn't undergo any diagnostic examinations, either.   MR examination showed a collection of gas (air) and fluid in the right hemisphere, which is a chronic process due to the absence of the surrounding edema. The CT scan showed a fracture of the ethmoid wall and the medial wall of the right orbit. </p>
  • +<p>The patient was in a car accident 15 years ago but did not attend hospital. During these years she did not undergo any diagnostic examinations either. MRI examination showed a collection of gas (air) and fluid in the right hemisphere, which is presumed to be a chronic process due to the absence of the surrounding edema. The CT scan showed a fracture of the ethmoid wall and the medial wall of the right orbit, which is the likely entry if site of gas. </p>

Updates to Study Attributes

Findings was changed:

There is a collection of air (gas) and fluid in the right hemisphere of the brain. The area of hypointense MR signal on T2 WI in the right frontal lobe is due to the presence of gas (air). The area of hyperintense MR signal on T2 WI in the right frontal and parietal lobes is due to fluid collection. There are no signs of surrounding edema. 

Updates to Study Attributes

Findings was changed:

The CT scan images were kindly contributed by Dr. Kalina Kirakosyan!

There is a fracture of the ethmoid wall and the medial wall of the right orbit. 

The CT scan images were kindly contributed by Dr Kalina Kirakosyan.

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