Skip to main content

Pneumoencephalus after one missed step

Case

An 82-year-old female sustained a ground level fall after missing a single step while Christmas shopping. She arrived at the emergency department with stable vital signs, but with massive facial bleeding threatening her airway. We proceeded with emergent nasal packing and endotracheal intubation. CT of head and face revealed massive pneumoencephalus (Fig. 1) secondary to complete disruption of the facial complex from the cranium, consistent with LeFort I, II and III fractures (Fig. 2). The patient was taken to surgery and subsequently extubated on day 2 without neurological deficit.

Fig. 1
figure 1

CT of head and face revealed massive pneumoencephalus

Fig. 2
figure 2

Complete disruption of the facial complex from the cranium, consistent with LeFort I, II and III fractures

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Daniel Cabrera.

Rights and permissions

Open Access This is an open access article distributed under the terms of the Creative Commons Attribution Noncommercial License ( https://creativecommons.org/licenses/by-nc/2.0 ), which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.

Reprints and Permissions

About this article

Cite this article

Cabrera, D., Gilmore, R. & Klocke, D.L. Pneumoencephalus after one missed step. Int J Emerg Med 1, 145 (2008). https://doi.org/10.1007/s12245-008-0025-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12245-008-0025-3

Keywords

  • Public Health
  • Internal Medicine
  • Emergency Department
  • Emergency Medicine
  • Neurological Deficit