Citation

Suisa H, Sviri GE. Acta Neurochir. (Wien) 2020; ePub(ePub): ePub.

Affiliation

Technion, Israel Institute of Technology, Technion City, 3200003, Haifa, Israel.

Copyright

(Copyright © 2020, Holtzbrinck Springer Nature Publishing Group)

DOI

10.1007/s00701-019-04184-w

PMID

31925539

Abstract

We report an unusual case of a young male patient who presented with severe pain and swelling of his left eyelid following an air compressor tip accident. He suffered extensive facial edema accompanied by deep tissue emphysema and an elevated intraocular pressure. On noncontrast CT scan, air was detected in the intraconal and extraconal orbital compartments, and intracranially within the subarachnoid spaces as well as in the suprasellar and perimesencephalic cisterns. There were no detectable fractures. We presume that by perforating the orbital septum, Tenon's capsule, and the optic nerve sheath, air had managed to penetrate the cranium through the optic nerve subarachnoid space and into the intracranial subarachnoid space.

Language: en

Keywords

Air compressor; Barotrauma; Blow gun; CSF leak; Intraocular pressure; Pneumocephalus