Case Report
 
A rare presentation of headache and runny nose: A case of pneumocephalus
James Hooper1, Elizabeth Moss1, Nihal Abosaif1
1Acute medicine department, University Hospital; Coventry and Warwickshire, Coventry, UK.

Article ID: Z01201611CR10718JH
doi:10.5348/ijcri-2016130-CR-10718

Address correspondence to:
Dr. Nihal Younis Abosaif
Consultant acute physician, Clinical Lead of acute medicine department
University Hospital Coventry and Warwickshire, Coventry, CV2 2DX
United Kingdom

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How to cite this article
Hooper J, Moss E, Abosaif N. A rare presentation of headache and runny nose: A case of pneumocephalus. Int J Case Rep Images 2016;7(11):745–748.


Abstract
A 67-year-old female was presented with severe headache and runny nose. She was referred to the acute medical unit as her blood pressure was 213/94 mmHg and a computed tomography scan of her head was booked to rule out subarachnoid haemorrhage (SAH). She was found to have a rare condition which necessitated referral to the neurosurgical unit for further investigations and treatment. She was found to have a rare disease called pneumocephalus which was extensive on her CT scan of head images. She was not as symptomatic as it was expected and patient had no history of head injury, ear or meningeal infections. She was treated for meningeal leak and was put on meningitis prophylaxis. She improved after two weeks of treatment and was kept under neurosurgical team.

Keywords: Headache, Petrous bone fracture, Pneumocephalus, Rhinorrhea, Subarachnoid hemorrhage


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Author Contributions
James Hooper – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Elizabeth Moss – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Nihal Abosaif – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 James Hooper et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.