Article Text

Download PDFPDF
Rare disease
An unusual case of pneumocephalus
  1. P Bhogal1,
  2. G Bhatnagar2,
  3. J Manieson3,
  4. T Booth1,
  5. C Prendergast3
  1. 1Department of Radiology, Royal Free Hospital, London, UK
  2. 2Department of Radiology, Plymouth Hospital, Plymouth, UK
  3. 3Department of Radiology, Lister Hospital, Stevenage, UK
  1. Correspondence to Dr Pervinder Bhogal, bhogalweb{at}


The authors present an unusual cause of pneumocephalus in a previously fit and well female octogenarian who presented with acute onset altered level of consciousness and generalised weakness. Radiological imaging demonstrated widespread cerebritis with pneumocephalus and gas within the superior sagittal sinus. Blood culture grew Clostridium septicum, a virulent but rare organism that can infect normal tissues. The close association between C septicum and both haematological and bowel malignancies must be considered if this organism is cultured.

View Full Text

Statistics from


  • Competing interests None.

  • Patient consent Not obtained.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.