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Clinical Pediatrics
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Notes

Pneumocephalus and Exophthalmos Secondary To Acute Sinusitis and Nasopharyngeal Oxygen Catheter

Joao Maurício Scarpellini Campos, M.D.

Departments of Pediatrics and Radiology Infectious Disease and Intensive Care Divisions, Fernandes Figueira Institute Oswaldo Cruz Foundation Rio de Janeiro, Brazil

Márcia Cristina Oliveira Boechat, M.D.

Departments of Pediatrics and Radiology Infectious Disease and Intensive Care Divisions, Fernandes Figueira Institute Oswaldo Cruz Foundation Rio de Janeiro, Brazil

Zina Maria Azevedo, M.D.

Departments of Pediatrics and Radiology Infectious Disease and Intensive Care Divisions, Fernandes Figueira Institute Oswaldo Cruz Foundation Rio de Janeiro, Brazil

José Roberto Garrido, M.D.

Departments of Pediatrics and Radiology Infectious Disease and Intensive Care Divisions, Fernandes Figueira Institute Oswaldo Cruz Foundation Rio de Janeiro, Brazil

Susana Lopes Rodrigues, M.D.

Departments of Pediatrics and Radiology Infectious Disease and Intensive Care Divisions, Fernandes Figueira Institute Oswaldo Cruz Foundation Rio de Janeiro, Brazil

Marcos Vinicius Pone, M.D.

Departments of Pediatrics and Radiology Infectious Disease and Intensive Care Divisions, Fernandes Figueira Institute Oswaldo Cruz Foundation Rio de Janeiro, Brazil

Pneumocephalus is a well-known complication of skull trauma, certain neurosurgical procedures, and sinus neoplasms.1,2 The association between pneumocephalus and infection is very rare, usually occurring in patients with mastoiditis, chronic otitis media, and sinusitis.1,3 In a recent report, pneumocephalus and exophthalmos developed secondary to administration of oxygen by a nasopharyngeal catheter in a patient without sinusitis.4 We describe an infant admitted for treatment of bacterial pneumonia and maxillary and ethmoid sinusitis, in whom pneumocephalus and right-sided severe exophthlalmos developed while the patient was receiving oxygen by a nasopharyngeal catheter.

Clinical Pediatrics, Vol. 33, No. 2, 127-128 (1994)
DOI: 10.1177/000992289403300216
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