Pneumocephalus with meningitis secondary to an old traumatic anterior cranial fossa defect

Freston Marc Sirur, Akash Daswaney, Roshini Raghu, Mohammad Khalid

Research output: Contribution to journalArticlepeer-review


We report a case of a 30-year-old man who presented with altered mental status, fever, headache and vomiting for 3 days. An initial CT scan of the brain revealed the presence of pneumocephalus with a bony defect in the anterior cranial fossa. The pneumocephalus was not explained initially and the patient was re-examined for any signs of trauma to the face, and a review of the history revealed a series of three traumatic events months prior to this illness. Further laboratory studies revealed Streptococcus pneumoniae in the blood and bacterial meningitis. He was treated with antibiotics and was later taken up for endoscopic repair of the skull base defect. This case highlights the importance of recognising post-traumatic pneumocephalus with superimposed meningitis and sepsis months after a traumatic event to the skull base.

Original languageEnglish
Article numbere242855
JournalBMJ Case Reports
Issue number6
Publication statusPublished - 11-06-2021

All Science Journal Classification (ASJC) codes

  • Medicine(all)


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