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Shaginyan G.G.

Russian Medical Academy of Continuing Professional Education of the Ministry of Health of Russia

Gedygushev I.A.

Russian Center of Forensic Medical Expertise

Gorshkov A.N.

N.A. Semashko Central Clinical Hospital No. 2 of Russian Railways LLC

Nagornov M.N.

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Kochoyan A.L.

Russian Center of Forensic Medical Expertise

Pneumocephaly: an expert assessment in determining the severity of harm to health

Authors:

Shaginyan G.G., Gedygushev I.A., Gorshkov A.N., Nagornov M.N., Kochoyan A.L.

More about the authors

Journal: Forensic Medical Expertise. 2020;63(4): 53‑56

DOI: 10.17116/sudmed20206304153

Read: 15509 times

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Table of contents

PNEUMOCEPHALY: AN EXPERT ASSESSMENT IN DETERMINING THE SEVERITY OF HARM TO HEALTH
PNEUMOCEPHALY: AN EXPERT ASSESSMENT IN DETERMINING THE SEVERITY OF HARM TO HEALTH

To cite this article:

Shaginyan GG, Gedygushev IA, Gorshkov AN, Nagornov MN, Kochoyan AL. Pneumocephaly: an expert assessment in determining the severity of harm to health. Forensic Medical Expertise. 2020;63(4):53‑56. (In Russ.)
https://doi.org/10.17116/sudmed20206304153

Подписка 2026 Судебно-медицинская экспертиза (Forensic Medical Expertise)
 
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

The purpose of the work is the analysis of etiology and pathogenesis of pneumocephaly in various injuries, diseases and pathological conditions for the reasonable determination of the severity of health damage during forensic medical examinations. The analysis of literature data on the causes and mechanisms of pneumocephaly is given. Attention is paid to the assessment of pneumocephaly in determining the health damage in patients with traumatic brain injury or if it is suspected. It is proposed to consider pneumocephaly as an indirect sign of a skull fracture. In case of pneumocephaly, a radiologically confirmed fracture is necessary to justify serious health damage. The medical documents of the victim should be examined to exclude concomitant diseases and pathological conditions that can lead to pneumocephaly.

Keywords:

pneumocephaly
harm to health
traumatic brain injury

Authors:

Shaginyan G.G.

Russian Medical Academy of Continuing Professional Education of the Ministry of Health of Russia

Gedygushev I.A.

Russian Center of Forensic Medical Expertise

Gorshkov A.N.

N.A. Semashko Central Clinical Hospital No. 2 of Russian Railways LLC

Nagornov M.N.

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Kochoyan A.L.

Russian Center of Forensic Medical Expertise

Received:

21.11.2019

Accepted:

20.12.2019

Close metadata

References:

  1. Gedygushev IA. O znachenii klinicheskih rentgenogramm dlja sudebno-medicinskoj diagnostiki povrezhdenij. Tallin: Valgus; 1982. (In Russ.).
  2. Kil’dyushov EM, Egorova EV., Kuzin AN, Zhulidov AA. The diagnostic potential of computed tomography for the purpose of forensic medical examination of a craniocerebral injury. Sudebno-meditsinskaya ekspertiza. 2018;4:19-23. (In Russ.). https://doi.org/10.17116/sudmed201861419
  3. Pigolkin YuI, Garsiya Korro MA, Zolotenkova GV. The age-dependent changes of sella turcica, frontal and sphenoid sinuses. Sudebno-meditsinskaya ekspertiza. 2016;6:48-53. (In Russ.). https://doi.org/10.17116/sudmed201659648-53
  4. Pigolkin YuI, Ametrin MD, Zolotenkova GV. The dynamics of the dimensional characteristics of the sella turcica in the subjects above 20 years of age. Sudebno-meditsinskaya ekspertiza. 2018;2:26-30. (In Russ.). https://doi.org/10.17116/sudmed201861226-30
  5. Konovalov AN, Likhterman LB, Potapov AA. i dr. Klinicheskoe rukovodstvo po cherepno-mozgovoi travme. T. III. Posledstviya i oslozhneniya cherepno-mozgovoi travmy, standarty i rekomendatsii, neiroreabilitatsiya, ekspertiza. M.: ANTIDOR; 2002. (In Russ.).
  6. Karyakin NN, Kachkov IA, Kiselev AM. Pneumocephalus. Neirokhirurgiya. 2002;2:64-68. (In Russ.).
  7. Karyakin NN. Pnevmotsefaliya — klinika, diagnostika, lechenie: Dis. ... kand. med. nauk. M. 2004. (In Russ.).
  8. Gulyaev DA, Vasil’ev PV, Kaurova TA, Primak NA, Svyatochevskii PA, Suvorov AA, Tyunyaev DS. Etiology, pathogenesis and tactics of treatment of spontaneous intense pneumocephaly. Neirokhirurgiya i nevrologiya detskogo vozrasta. 2013;3:73-78. (In Russ.).
  9. Byval’tsev VA, Kalinin AA, Okoneshnikova AK, Budaev AE. Posttraumatic pneumacephalus: etiopathogenesis, diagnostics, methods of surgical treatment. Clinical case. Byulleten’ VSNTs SO RAMN. 2016;4(110):9-18. (In Russ.).
  10. Shelesko EV, Zaitsev OS, Chernikova NA. A rare case of spontaneous pneumocephalus as a complication of nontraumatic cerebrospinal fluid rhinorrhea. An evidencebased review. Arkhiv’ vnutrennei meditsiny. 2017;5:391-397. (In Russ.).
  11. Khatomkin DM, Usanov EI, Maksimov VV, Osetrov AS. A case of surgical treatment of a patient with post-traumatic intense pneumocephalus and nasal liquorrhea. Neirokhirurgiya. 2009;4:50-55. (In Russ.).
  12. Karavelioglu E, Eser O, Haktanir A. Pneumocephalus and Pneumorrhachis after Spinal Surgery: Case Report and Review of the Literature. Neurologia Medico-Chirurgica. 2014;54(5):405-407.  https://doi.org/10.2176/nmc.cr2013-0118
  13. Pervukhin SA, Ageenko AM, Lebedeva MN, Golikov RI. Case Report: Pneumocephalia after epidural anesthesia for hip replacement surgery. Anesteziologiya i reanimatologiya. 2016;61(3):233-235. (In Russ.). https://doi.org/10.18821/0201-7563-2016-3-233-235
  14. Byval’tsev VA, Kalinin AA, Belykh EG, Bryanskii SI, Sanzhin BB. Cherepno-mozgovaya travma. Uchebnoe posobie. Irkutsk. 2018. (In Russ.).
  15. Likhachev SA, Nedz’ved’ MK, Astapenko AV, Elenskaya SV, Sidorovich RR, Brant EV, Ivanova MA, Karpov IA, Petrova LG, Mel’nik VF, Matveichik NN, FedyukovAS, Grigorchuk IP, Khapalyuk AV, Gorbunova AA. A case of cerebral dirofilariasis: a clinical review. Nevrologicheskii zhurnal. Respublika Belarus’. 2013;2:42-47. (In Russ.).
  16. Abdus Samad Ansari, Brittany B. Dennis, Dilip Shah, Winfred Baah. An unusual case of infective pneumocephalus: case report of pneumocephalus exacerbated by continuous positive airway pressure. BMC Emergency Medicine. 2018;18:2.  https://doi.org/10.1186/s12873-018-0154-9
  17. Israelyan LA, Shimanskii VN, Otamanov DA, Poshataev VK, Lubnin AYu. Patient positioning on the operating table in neurosurgery: sitting or lying. Anesteziologiya i reanimatologiya. 2013;4:18-26. (In Russ.).
  18. Grinenko EA, Kul’chikov AE, Morozov SG. Dynamics of the carotid blood flow in the conditions of the pneumocephalus. Vestnik Natsional’nogo mediko-khirurgicheskogo tsentra im. N.I. Pirogova. 2014;2(9):12-18. (In Russ.).
  19. Aubrey V. Verdun, Steven P. Cohen, Bryan S. Williams, Robert W. Hurley. Pneumocephalus After Lumbar Epidural Steroid Injection: A Case Report and Review of the Literature. A&A Case Reports. 2014;1(3):9-13.  https://doi.org/10.1213/XAA.0000000000000055
  20. Helena Dutra Figueira, Joana Guimarães, Ana Luísa Sousa, Ana Margarida Regalado. Pneumocephalus Following Unidentified Dural Puncture: A Case Report with an Unusual Neurological Presentation. Pain Physician. 2017;20:329-334. 
  21. Manuel Á. Gómez-Ríos, María Concepción Fernández-Goti. Pneumocephalus after Inadvertent Dural Puncture during Epidural Anesthesia. Anesthesiology. 2013;2(118):444.  https://doi.org/10.1097/ALN.0b013e31825e6ecc
  22. Chew YW, Suppan VK, Ashutosh SR, Tew MM, Jimmy-Tan JH. Pneumocephalus Following Combined Spinal Epidural Anaesthesia for Total Knee Arthroplasty: A Case Report. Malaysian Orthopaedic Journal. 2017;3(11):44.  https://doi.org/10.5704/MOJ.1711.001
  23. Jung-Sup Lee, Yong-Sook Park, Jeong-Taik Kwon, Jong-Sik Suk. Spontaneous Pneumocephalus Associated with Pneumosinus Dilatans. J of Korean Neurosurgical Society. 2010;47(5):395-398.  https://doi.org/10.3340/jkns.2010.47.5.395
  24. Elham Pishbin, Neda Azarfardian, Mohsen Salarirad, Babak Ganjeifar. Spontaneous Nontraumatic Pneumocephalus: A Case Report. Iran Red Crescent Med J. 2015;17(7):1-3.  https://doi.org/10.5812/ircmj.23920v2
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