Traumatic intracranial pneumothorax is relatively common and is often caused by skull base fractures. When traumatic intracranial pneumothorax occurs, patients with a relatively small amount of pneumothorax do not need special treatment, need to rest in bed for about 2 weeks, you can preventive use of cephalosporin antibiotics to prevent intracranial infections, and should be regularly re-examined to monitor the changes in intracranial pneumothorax. In some cases, traumatic intracranial pneumoperitoneum is relatively large, with obvious symptoms of increased intracranial pressure or the formation of tension pneumocranium, in which case conventional conservative treatment may not work, and surgical treatment is needed to make a hole drilled in the skull to expel the gas before it can be cured.