MARK D. WINTON, M.D.; E. DALE EVERETT, M.D.; CLARK H. WATTS, M.D.
To the editor: Pneumocephalus is most often seen as a result of surgery or trauma to the central nervous system. We have recently seen a case of spontaneous pneumocephalus that presented as an audible phenomenon to the patient.
A 57-year-old woman had a 1-week history of occipital headache treated with analgesics. On the day before admission she noticed a bubbling sensation inside her head. That evening she developed fever and mental status changes. A computed tomographic (CT) scan showed pneumocephalus and an air-fluid level in the left sphenoid sinus. She had a temperature of 38.7 °C, was disoriented, and had
WINTON MD, EVERETT ED, WATTS CH. Pneumococcal Infection and Gurgling in the Head. Ann Intern Med. ;106:912–913. doi: 10.7326/0003-4819-106-6-912_3
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Published: Ann Intern Med. 1987;106(6):912-913.
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