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Spontaneous pneumocephalus presenting with alien limb phenomena

Published online by Cambridge University Press:  29 May 2012

R Nash ,
M Wilson ,
M Adams  and
N Kitchen
R Nash*
Affiliation:
Victor Horsley Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, University College London Hospitals, London, UK
M Wilson
Affiliation:
Victor Horsley Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, University College London Hospitals, London, UK
M Adams
Affiliation:
Lysholm Department of Neuroradiology, National Hospital for Neurology and Neurosurgery, University College London Hospitals, London, UK
N Kitchen
Affiliation:
Victor Horsley Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, University College London Hospitals, London, UK
*
Address for correspondence: Mr Robert Nash, Victor Horsley Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, Queen Square, London WC1N 3BG, UK Fax: +44 (0) 207 448 3340 E-mail: robertnash@doctors.org.uk
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Abstract

Background:

Spontaneous pneumocephalus is a rare condition that has been reported infrequently. Alien limb syndrome is an uncommon phenomenon most often seen in patients with frontal and callosal lesions.

Method:

Case report of a patient with pneumocephalus presenting with alien limb syndrome. The patient underwent successful surgical management. A literature review and discussion of aspects of this presentation are also included.

Conclusion:

In this case, a spontaneous pneumocephalus has formed a frontal space-occupying lesion and presented with alien limb phenomena.

Keywords

PneumocephalusTensionGasIntracranialAlien Hand Syndromes

Information

Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 7 , July 2012 , pp. 733 - 736
Copyright
Copyright © JLO (1984) Limited 2012

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References

1Pennings, RJ, Liauw, L, Cremers, CW. A spontaneous extradural otogenic pneumocephalus. Otol Neurotol 2009;30:864CrossRefGoogle Scholar
2Josephs, KA, Rossor, MN. The alien limb. Pract Neurol 2004;4:44–5CrossRefGoogle Scholar
3Markham, JW. The clinical features of pneumocephalus based upon a survey of 284 cases with report of 11 additional cases. Acta Neurochir (Wein) 1967;16:1–78CrossRefGoogle ScholarPubMed
4Hamid, A, Huneidi, S, Afshar, F. Chronic spontaneous tension pneumocephalus due to benign frontal sinus osteoma. Br J Neurosurgery 1989;3:389–92Google Scholar
5Bartlett, JR. Frontal and ethmoidal osteomas. Intra-cranial neurological complications. Br J Surg 1971;58:607–13CrossRefGoogle Scholar
6Añorbe, E, Aisa, P, Saenz de Ormijana, J. Spontaneous pneumatocele and pneumocephalus associated with mastoid hyperpneumatization. Eur J Radiol 2000;36:158–60CrossRefGoogle ScholarPubMed
7Park, CY, Kim, KS. Spontaneous pneumocephalus associated with pneumocele of the frontal sinus. Cephalgia 2010;30:1400–2CrossRefGoogle ScholarPubMed
8Lee, JS, Park, YS, Kwon, JT, Suk, JS. Spontaneous pneumocephalus associated with pneumosinus dilatans. J Korean Neurosurg Soc 2010;47:395–8CrossRefGoogle ScholarPubMed
9Hermans, PE, Bracke, PG, Demeyer, IV. Pneumocephalus due to barotrauma: CT demonstration. Am J Roentgenol 1992;159:1351–2CrossRefGoogle ScholarPubMed
10Jarjour, NN, Wilson, P. Pneumocephalus associated with nasal continuous positive airway pressure in a patient with sleep apnea syndrome. Chest 1989;96:1425–6CrossRefGoogle Scholar
11Babl, FE, Arnett, AM, Barnett, E, Brancato, JC, Kharasch, SJ, Janecka, IP. Atraumatic pneumocephalus: a case report and review of the literature. Pediatr Emerg Care 1999;15:106–9CrossRefGoogle ScholarPubMed
12Andrews, JC, Canalis, RF. Otogenic pneumocephalus. Laryngoscope 1986;96:521–8CrossRefGoogle ScholarPubMed
13Scepkowski, LA, Cronin-Golomb, A. The alien hand: cases, categorizations, and anatomical correlates. Behav Cogn Neurosci Rev 2003;2:261–77CrossRefGoogle ScholarPubMed
14Spector, AR, Freeman, WD, Cheshire, WP. The stroke that struck back: an unusual alien hand presentation. J Stroke Cerebrovasc Dis 2009;18:72–3CrossRefGoogle ScholarPubMed
15Schrijver, HM, Berendse, HW. Pneumocephalus by valsalva's maneuver. Neurology 2003;60:345–6CrossRefGoogle ScholarPubMed
16Richards, SD, Saeed, SR, Laitt, R, Ramsden, RT. Hypercellularity of the mastoid as a cause of spontaneous pneumocephalus. J Laryngol Otol 2004;118:474–6CrossRefGoogle ScholarPubMed
17Tucker, A, Miyake, H, Tsuji, M, Ukita, T, Nishihara, K, Ito, S et al. Spontaneous epidural pneumocephalus. Neurol Med Chir 2008;48:474–8CrossRefGoogle ScholarPubMed
18DelGaudio, JM, Ingley, AP. Treatment of pneumocephalus after endoscopic sinus and microscopic skull base surgery. Am J Otolaryngol 2010;31:226–30CrossRefGoogle ScholarPubMed
19Wilkinson, EP, Meyer, TA, Rubinstein, JT. Spontaneous otogenic pneumocephalus managed with the middle fossa approach. Acta Otolaryngol 2007;127:892–6CrossRefGoogle ScholarPubMed