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Start Over Author "Kinirons, M" Journal age and ageing
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10. Acute confusion secondary to pneumocephalus in an elderly patient.

Author

Chan YP, Yau CY, Lewis RR, and Kinirons MT

Subjects
Acute Disease, Aged, Aged, 80 and over, Aircraft, Brain diagnostic imaging, Confusion therapy, Humans, Magnetic Resonance Imaging, Male, Pneumocephalus therapy, Radiography, Tomography Scanners, X-Ray Computed, Barotrauma complications, Confusion etiology, Pneumocephalus complications
Abstract

Presentation: 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.

Published
2000
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