Post-Traumatic Tension Pneumocephalus in a Nigerian Male: A Case Report

Pneumocephalus is a rare condition that usually arises from severe head and facial trauma, tumours of the skull base and surgical procedures involving the base of the skull. Tension Pneumocephalus (TP) is a clinical condition and a neurological emergency characterised by continuous accumulation of air inside the cranial cavity leading to irregular pressure being exerted on the brain which leads to neurologic deterioration. This is a case of a young motorcyclist who was involved in a Road Traffic Accident (RTA) and presented with deteriorating level of consciousness and plain skull radiograph and Computed Tomography (CT) of the brain showed skull fractures, presence of air in both lateral ventricles and brain parenchyma confirmed the diagnosis of post-traumatic TP, but unfortunately patient was succumbed to death.