CC BY 4.0 · Indian Journal of Neurotrauma 2023; 20(02): 151-154
DOI: 10.1055/s-0043-1760726
Case Report

Delayed Posttraumatic Tension Pneumocephalus: Case Report and Review of Literature

Chirag Jain
1   Department of Neurosurgery, NIMHANS, Bangalore, India
Ajinkya Rewatkar
1   Department of Neurosurgery, NIMHANS, Bangalore, India
Anup Kumar Roy
1   Department of Neurosurgery, NIMHANS, Bangalore, India
Bhagavatula Indira Devi
1   Department of Neurosurgery, NIMHANS, Bangalore, India
› Author Affiliations


Delayed tension pneumocephalus is a rare entity. Twelve cases of posttraumatic delayed tension pneumocephalus have been reported. This study is a case report of a patient presenting with delayed posttraumatic tension pneumocephalus, and highlights the nuances of management.

Statement of Approval from All Authors


Publication History

Article published online:
09 February 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

  • References

  • 1 Kankane VK, Jaiswal G, Gupta TK. Posttraumatic delayed tension pneumocephalus: rare case with review of literature. Asian J Neurosurg 2016; 11 (04) 343-347
  • 2 Pillai P, Sharma R, MacKenzie L. et al. Traumatic tension pneumocephalus: two cases and comprehensive review of literature. Int J Crit Illn Inj Sci 2017; 7 (01) 58-64
  • 3 Hong WJ, Yoo CJ, Park CW, Lee SG. Two cases of delayed tension pneumocephalus. J Korean Neurosurg Soc 2005; 37: 59-62
  • 4 Tripathy P, Mohapatra SSG, Ranjan SK, Sarangi GS, Mohanty S. Post-traumatic delayed intracerebral tension pneumatocele: a case report and review of literature. Indian J Neurotrauma 2013; 10 (02) 127-130
  • 5 Parish JM, Driscoll J, Wait SD, Gibbs M. Delayed traumatic tension pneumocephalus: a case report. J Emerg Med 2020; 59 (06) e217-e220
  • 6 Howng SL, Lieu AS, Chuang MC. Delayed intracerebral tension pneumocephalus: report of two cases. Kao Hsiung I Hsueh Ko Hsueh Tsa Chih 1994; 10 (04) 217-221
  • 7 Bayassi S. Delayed post-traumatic intracerebral pneumatocele: a case report and literature review. Neurol Neurochir Pol 1997; 31 (05) 1047-1051
  • 8 Zasler ND. Posttraumatic tension pneumocephalus. J Head Trauma Rehabil 1999; 14 (01) 81-84
  • 9 Kıymaz N, Demir Ö, Yılmaz N, Üniversitesi YY, Fakültesi T, Van NA. Posttraumatic delayed tension pneumocephalus: case report. İnönü Üniversitesi Tıp Fakültesi Dergisi 2005; 12 (03) 189-192
  • 10 Rathore Singh Y, Satyarthee Dutta G, Mahapatra Kumar A. Post-traumatic tension pneumocephalus: series of four patients and review of the literature. Turk Neurosurg 2016; 26 (02) 302-305 PubMed
  • 11 Ausman JI, Solomiichuk VO, Lebed VO, Drizhdov KI. Posttraumatic delayed subdural tension pneumocephalus. Surgical Neurol Int 2013; 4: 37 PubMed
  • 12 Wang A, Solli E, Carberry N, Hillard V, Tandon A. Delayed tension pneumocephalus following gunshot wound to the head: a case report and review of the literature. Case Rep Surg 2016; 2016: 7534571
  • 13 Kankane VK, Gupta TK. Outcome of posttraumatic delayed intracerebral tension pneumatocele: prospective study of four cases: single institutional experience. Asian J Neurosurg 2018; 13 (04) 1087-1095
  • 14 Soin P, Sharma P, Goyal P, Singh Kochar P. Isolated intraparenchymal tension pneumocephalus. 2018; 31 (04) 537-538 PubMed
  • 15 Rajan VTT, Dharini III GK, Anand VSS, Nandish HS. When Mount Fuji can erupt after seven days: a case report of delayed posttraumatic tension pneumocephalus with literature review. J Neurosci Rural Pract 2020; 11 (01) 187-190
  • 16 Mirkarimi T, Modirian E, Namdar P, Salek M. Delayed post-traumatic tension hydropneumocephalus; a case report of conservative treatment. Arch Acad Emerg Med 2021; 9 (01) e22
  • 17 Praneeth K, Nachiappan DS, Gupta D. A stitch in time saves nine: delayed presentation of tension pneumocephalus as stroke. Neurol India 2021; 69 (06) 1635-1636
  • 18 Ortiz-Galloza EX, Arechiga B, Heer J, Quesada D. Delayed tension pneumocephalus following frontal sinus fracture. Clin Pract Cases Emerg Med 2022; 6 (01) 81-82