日本救急医学会雑誌
Online ISSN : 1883-3772
Print ISSN : 0915-924X
気圧外傷により気脳症を呈した1例
福田 健志太田原 康成西川 泰正遠藤 英彦佐藤 直也山野目 辰味小川 彰
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キーワード: 気圧外傷, 気脳症, 副鼻腔炎
ジャーナル フリー

2003 年 14 巻 11 号 p. 745-747

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A 38-year-old man complained of headache and nausea after traveling by aeroplane. On physical examination, high fever and nuchal rigidity were found. Computed tomography showed pneumocephalus. Magnetic resonance imaging showed sphenoid sinusitis. Cerebrospinal fluid examination revealed purulent meningitis. The patient was medically treated using antibiotic agents. The pneumocephalus disappeared and the purulent meningitis was resolved. We suggest that the barotrauma resulted in the pneumocephalus and purulent meningitis. Barotrauma is a potential cause of pneumocephalus, especially if the patient has parasinusitis.

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