Management of Post Traumatic Tension Pneumocephalus

The presence of intracranial air (pneumocephalus) following a brain trauma is a common event and is often trivial. However, tension pneumocephalus can be defined as a large asymmetric accumulations of air, may act as a space occupying lesion causing brain compression and resulting in neurological deterioration. We report a case of post-traumatic compressive pneumocephalus responsible for severe neurological deterioration. CT scan confirmed the skull base fracture with a huge pneumocephalus and the patient operated successfully with clinical improvement of his symptoms and radiographic resolution of his condition. Compressive pneumocephaly is a rare and serious complication, also his management should also be well known by the medical staff.