[Skip to Content]
[Skip to Content Landing]
November 1940


Author Affiliations

DENVER; Lieutenant Colonel, Medical Corps, United States Army EL PASO, TEXAS

From the Neuropsychiatric Section, William Beaumont General Hospital, El Paso, Texas. The patient was referred by Dr. Paul Gallagher, of El Paso.

Arch NeurPsych. 1940;44(5):1093-1097. doi:10.1001/archneurpsyc.1940.02280110167013

Fractures involving the frontal sinus and the ethmoid cells occasionally allow the escape of air into the cranial cavity. According to Rawling,1 a few cases have been discovered by roentgen examination in which a pocket of air has become locked intracranially, usually between the dura and the frontal lobe. In the case now reported, however, there was sufficient air to fill the lateral ventricles and the traumatic porencephalic cysts in both frontal lobes.


History.  —P. H. G., a man aged 47, incurred a fracture of the skull on July 30, 1939, when the truck in which he was riding collided with another vehicle. Before the accident, he had been employed at clerical work; he was apparently in good health, including freedom from any visual difficulties. He was unconscious after the injury, but recovered consciousness during the night. On the following morning Dr. Paul Gallagher performed