Pneumocephalus presenting as sudden thunderclap headache - A
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Pneumocephalus denotes the presence of air within the skull. In 1884, Chiari was the first to diagnose pneumocephalus on an autopsy done on a patient with ethmoiditis. Otogenic infections rarely cause pneumocephalus. Although the rate of intracranial complications related to middle ear disease is only 0.5%–4%, mortality still ranges between 5% and 15%. Pneumocephalus secondary to chronic suppurative otitis media (CSOM) is an extremely rare phenomenon. Despite its rarity, the sequelae of intracranial air associated with otitis media may be grave if misdiagnosed. This article reports a case of pneumocephalus occurring in a known case of CSOM who presented in our medical department with sudden onset of severe headache.

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