Open Access

Pneumoencephalus after one missed step

International Journal of Emergency Medicine20081:25

https://doi.org/10.1007/s12245-008-0025-3

Received: 28 December 2007

Accepted: 31 March 2008

Published: 29 May 2008

Case

An 82-year-old female sustained a ground level fall after missing a single step while Christmas shopping. She arrived at the emergency department with stable vital signs, but with massive facial bleeding threatening her airway. We proceeded with emergent nasal packing and endotracheal intubation. CT of head and face revealed massive pneumoencephalus (Fig. 1) secondary to complete disruption of the facial complex from the cranium, consistent with LeFort I, II and III fractures (Fig. 2). The patient was taken to surgery and subsequently extubated on day 2 without neurological deficit.
Fig. 1

CT of head and face revealed massive pneumoencephalus

Fig. 2

Complete disruption of the facial complex from the cranium, consistent with LeFort I, II and III fractures

Authors’ Affiliations

(1)
Department of Emergency Medicine, Mayo Clinic College of Medicine
(2)
Department of Medicine, Mayo Clinic College of Medicine
(3)
200 First Street SW

Copyright

© Springer-Verlag London Ltd 2008

Advertisement