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  • Title: Pneumocephalus secondary to tension pneumothorax associated with comminuted fracture of the thoracic spine.
    Author: McCall CS, Nguyen TQ, Vines FS, Bremer AM.
    Journal: Neurosurgery; 1986 Jul; 19(1):120-2. PubMed ID: 3748332.
    Abstract:
    We present an unusual case of pneumocephalus secondary to a tension pneumothorax associated with fracture of the thoracic spine. Air from a pneumothorax entered the thoracic intraspinal compartment and the intracranial cavity through a comminuted fracture of the spine. The pneumocephalus and the pneumothorax resolved after aspiration of the intrathoracic air via an intercostal catheter. Diagnosis, therapeutic modalities, and potential complications of a pneumocephalus and of a communication between the thoracic cavity and the spinal dural space are discussed.
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