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Age and Ageing, Vol 29, 365-367, Copyright © 2000 by British Geriatrics Society

ARTICLES

Case report. Acute confusion secondary to pneumocephalus in an elderly patient

Y Chan, C Ya, R Lewis and M Kinirons
Department of Geriatric and General Medicine, Guy's and St Thomas' NHS Trust, Ground Floor, Thomas Guy House, Guy's Hospital, London SE1 9RT, UK; Corresponding author; e-mail: mark.kinirons@gsst.sthames.nhs.uk

Prsentation: an 83-year-old man was admitted to hospital with acute confusion 3 days after a direct flight from Australia.Outcome: computed tomography (CT) brain scan and magnetic resonance imaging head scan revealed the cause to be pneumocephalus, apparently the result of barotrauma caused by Valsalva manoeuvres when he attempted to unblock his nose during the flight. After 5 days of nursing in the vertical position the patient's Abbreviated Mental Score returned to normal. A CT brain scan 6 weeks later showed complete resolution of the pneumocephalus.Keywords: air travel, meningitis, pneumocephalus, Valsalva manoeuvre
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This article has been cited by other articles:


Home page
 NeurologyHome page
M. B. Jensen and H. P. Adams
Pneumocephalus after air travel
Neurology, July 27, 2004; 63(2): 400 - 401.
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