{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,6,18]],"date-time":"2022-06-18T11:41:40Z","timestamp":1655552500831},"reference-count":4,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>Pneumocephalus is the presence of air in the intracranial cavity secondary to communication with the extracranial compartment. It occurs spontaneously, after trauma, or after a cranial surgery.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description: <\/jats:title>\n<jats:p>A 62-year-old female, a known case of diabetes mellitus, presented to our emergency department with a sudden thunderclap headache. She was diagnosed with subarachnoid hemorrhage secondary to ruptured anterior communicating artery aneurysm. Twenty days later, she developed pneumonia and subsequently had a cardiac arrest. She was revived after 26 min of cardiopulmonary resuscitation. She developed pneumothorax requiring a chest tube insertion. After the first trial, she developed a diffuse subcutaneous emphysema, and the chest tube was reinserted. Afterward, she became unresponsive with dilated pupils. A computed tomography (CT) scan of the brain showed a diffuse subcutaneous emphysema reaching up to the face with air around the ventriculoperitoneal shunt distal catheter and extending through the burr hole to the ventricles causing pneumocephalus. There was no evidence of skull base fractures on brain CT. Unfortunately, the patient did not recover and passed away 3 days later.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>This report describes the presentation and radiological findings of an interesting case of pneumocephalus following iatrogenic diffuse subcutaneous emphysema. It aims to increase the emphasis on early anticipation of such rare complication after subcutaneous emphysema.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_994_2021","type":"journal-article","created":{"date-parts":[[2022,6,17]],"date-time":"2022-06-17T09:05:54Z","timestamp":1655456754000},"page":"249","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Pneumocephalus after subcutaneous emphysema"],"prefix":"10.25259","volume":"13","author":[{"given":"Ahoud","family":"Alharbi","sequence":"first","affiliation":[{"name":"Department of Surgery, Division of Neurosurgery, King Abdulaziz Medical City, Ministry of National Guard - Health Affairs, Riyadh, Saudi Arabia."},{"name":"College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia."},{"name":"King Abdullah International Medical Research Center, Riyadh, Saudi Arabia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sami","family":"Khairy","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Neurosurgery, King Abdulaziz Medical City, Ministry of National Guard - Health Affairs, Riyadh, Saudi Arabia."},{"name":"King Abdullah International Medical Research Center, Riyadh, Saudi Arabia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed","family":"Alkhani","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Neurosurgery, King Abdulaziz Medical City, Ministry of National Guard - Health Affairs, Riyadh, Saudi Arabia."},{"name":"King Abdullah International Medical Research Center, Riyadh, Saudi Arabia."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2022,6,17]]},"reference":[{"key":"10.25259\/SNI_994_2021\/ref-1","doi-asserted-by":"crossref","first-page":"155","DOI":"10.4103\/2152-7806.166195","article-title":"Review of the management of pneumocephalus","volume":"6","author":"Dabdoub","year":"2015","journal-title":"Surg Neurol Int"},{"key":"10.25259\/SNI_994_2021\/ref-2","article-title":"Pneumocephalus","author":"Das","year":"2020"},{"key":"10.25259\/SNI_994_2021\/ref-3","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1016\/S1130-1473(07)70300-7","article-title":"Intraventricular tension pneumocephalus after transsphenoidal surgery: A case report and literature review","volume":"18","author":"Ruiz-Juretschke","year":"2007","journal-title":"Neurocirugia (Astur)"},{"key":"10.25259\/SNI_994_2021\/ref-4","doi-asserted-by":"crossref","first-page":"37","DOI":"10.4103\/2152-7806.109537","article-title":"Posttraumatic delayed subdural tension pneumocephalus","volume":"4","author":"Solomiichuk","year":"2013","journal-title":"Surg Neurol Int"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/pneumocephalus-after-subcutaneous-emphysema\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/pneumocephalus-after-subcutaneous-emphysema\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,6,17]],"date-time":"2022-06-17T09:05:59Z","timestamp":1655456759000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/pneumocephalus-after-subcutaneous-emphysema\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6,17]]},"references-count":4,"alternative-id":["10.25259\/SNI_994_2021"],"URL":"https:\/\/doi.org\/10.25259\/sni_994_2021","relation":{},"ISSN":["2152-7806"],"issn-type":[{"value":"2152-7806","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,6,17]]},"article-number":"249"}}