Physical therapy in Pneumocephalus: a case report
DOI:
https://doi.org/10.33233/fb.v24i6.5517Keywords:
intracranial air, rehabilitation, Physical Therapy, traumatic brain injury, hospital physiotherapy serviceAbstract
Pneumocephalus consists of an accumulation of air inside the intracranial cavity, which may or may not be associated with rupture of the dura mater. This has been associated with traumatic causes, accounting for up to 90% of cases and the main symptoms can occur as a result of intracranial hypertension. The objective of this report was to highlight the importance of Physical therapy in Pneumocephalus, describe the results of the intervention and discuss aggregated methods used in this atypical case. This is a case report of the physiotherapeutic approach in pneumocephalus, carried out at the Hospital Universitário do Oeste do Paraná, cataloged through analysis of the electronic medical record, physical record, laboratory tests and imaging tests. We concluded that by approaching the pneumocephalus with oxygen therapy supporting high flow, it was possible to observe the reabsorption of intracranial gas, in addition to maintaining and/or restoring the patient's functionality, making him active, through kinesiotherapy, respiratory physical therapy and early mobilization.
References
OMS. Organização Mundial da Saúde. Relatório de status global sobre segurança no trânsito 2015. Brasília: Organização Mundial da Saúde; 2015.
World Health Organization. Global status report on road safety 2013: supporting a decade of action: summary. World Health Organization; 2013.
Botelho LJ, Gonzaga HN. Mortalidade por acidentes motociclísticos: Estudo comparativo entre Santa Catarina e Brasil. Boletim do Curso de Medicina da UFSC. 2017;3(8). doi: 10.32963/bcmufsc.v3i8.2427
Ribeiro VP, Daniel JA, Blasius L. Acidentes de trânsito envolvendo motociclistas em Cascavel. Revista Brasileira de Segurança Pública. 2014;8(1). doi: 10.31060/rbsp.2014.v8.n1.364
Aguilar-Shea AL, Mañas-Gallardo N, Romero-Pisonero E. Post-traumatic pneumocephalus. J Int Emerg Med. 2019;(2):129-30.
Pereira CU, Dezena RA., Meguins LC, Santos TMP. Pneumoencéfalo: Revisão da Literatura. Jornal Brasileiro de Neurocirurgia. 2015;26(1):47-56.
Onur OO, Demir H, Guneysel Ö. Asymptomatic pneumocephalus after head trauma: case report. BMJ Case Rep. 2009:2009:bcr10.2008.1028. doi: 10.1136/bcr.10.2008.1028
Vieira S, Hossne WS. Metodologia científica para a área da saúde. Rio de Janeiro: Campus; 2012. p.19.
Castro RCM, Oliveira MMM, Santos DM, Silva CJ, Furtado LM, Batista JD. Pneumoencéfalo difuso após fratura de maxila: relato de caso. Revista Odontológica do Brasil Central. 2021;30(89):171-9. doi: 10.36065/robrac.v30i89.1332
Tyagi A, Ramanujam M, Sethi AK, Mohta M. Clinical utility of epidural volume extension following reduced intrathecal doses: a randomized controlled trial. Braz J Anesthesiol. 2021;71(1). doi: 10.1016/j.bjane.2020.12.005
Castedo J, Ferreira AP, Camacho O. Hyperbaric oxygen therapy in the treatment of pneumocephalus associated with epidural block: case report. Braz J Anesthesiol. 2021;71(3):295-98. doi: 10.1016/j.bjane.2021.02.058
Rosa RG, Dietrich C, Valle ELTD, Souza D, Tagliari L, Mattioni M, Teixeira C. O Teste de Caminhada de 6 Minutos prevê a melhora física em longo prazo de sobreviventes à unidade de terapia intensiva: um estudo de coorte prospectiva. Rev Bras Ter Intensiva. 2021:33(03). doi: 10.5935/0103-507X.20210056
Castro AAM, Holstein JM. Benefícios e métodos da mobilização precoce em UTI: uma revisão sistemática. Life Style. 2019;6(2):7-22. doi: 10.19141/2237-3756.lifestyle.v6.n2.p7-22
Fontela PC, Forgiarini JLA, Friedman G. Atitudes clínicas e barreiras percebidas para a mobilização precoce de pacientes graves em unidades de terapia intensiva adulto. Rev Bras Ter Intensiva. 2018;30(2):187-94. doi: 10.5935/0103-507X.20180037
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Copyright (c) 2023 Higor Gregore Alencar Oliveira, Amanda Ferreira Alves, Janaina Abramovecht, Káren Andresa Mendes da Silva, Juliana Hering Genske
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