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Article
February 28, 1953

USE OF UNREPORTED TREATMENT IN SPONTANEOUS PNEUMOVENTRICLE FOLLOWING TRAUMAREPORT OF A CASE

JAMA. 1953;151(9):728-730. doi:10.1001/jama.1953.02940090030007b
Abstract

A case of pneumoventricle, a form of pneumocephalus in which air filled the ventricular system, is reported because of the relatively uncommon occurrence of this condition, the difficulty encountered in its management, and its successful management by a previously unre-ported method. Pneumoventricle as a complication of fractures through the accessory sinuses of the skull is always cause for concern and becomes alarming when the ingress of air continues and causes an increase of the intraventricular or intracranial pressure. Although in the minds of many this situation calls for immediate surgical intervention, the presence of disease or injury in another system may contraindicate such a course.

The first reported case of traumatic pneumoventricle was diagnosed and treated by Luckett in 1912. In his patient roentgenogram of the skull at the time of injury revealed a fracture through the right frontal sinus without intracranial air. Seventeen days after injury the patient sneezed,

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