Introduction: Tension pneumocephalus, caused by pressurized air within the cranial cavity, is a neurosurgical emergency. Differentiation from uncomplicated pneumocephalus is critical for proper diagnosis and treatment. A 63-year-old male wit Case Report: h a history of a road trafc accident presented with neurological symptoms, including limb weakness and speech disturbances. Imaging revealed tension pneumocephalus, and the patient underwent successful bifrontal craniotomy with sinus repair. Tension pneumocephalus Discussion: can result from trauma, surgery, or sinus pathology and presents with various neurological decits. Anesthetic agents and therapies like hyperbaric oxygen can exacerbate the condition. Radiological signs aid diagnosis, but clinical deterioration is the key indicator for surgical intervention. Prompt Conclusion: identication and treatment of tension pneumocephalus are essential. Differentiating it from benign pneumocephalus is crucial for effective management, relying on clinical and radiological assessment.
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Gautam et al. (2024) studied this question.
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