An unusual case of aphasiaBMJ 2017; 357 doi: https://doi.org/10.1136/bmj.j2792 (Published 29 June 2017) Cite this as: BMJ 2017;357:j2792
- Rebecca Mortimer, foundation year 2 doctor, emergency department1,
- Emma Owens, consultant radiologist1,
- David C Howlett, consultant radiologist1
- 1Eastbourne District General Hospital, East Sussex Healthcare Trust, Eastbourne, UK
- Correspondence to R Mortimer
A 93 year old man with a destructive scalp squamous cell carcinoma causing bony erosion into the calvarium was admitted with sudden onset aphasia. Neurological examination was otherwise unremarkable. A computed tomography (CT) scan was performed to investigate the cause of the aphasia (fig 1⇓). What finding is present on the cranial CT?
The cranial CT shows extensive pneumocephalus (intracranial air).
The patient had pneumocephalus due to a bony defect at the level of his scalp tumour. As shown in fig 1 …