Tension pneumocephalus: Mount Fuji sign

A 13-year-old male was operated for a space occupying lesion in the brain. A noncontrast computed tomography scan done in the late postoperative period showed massive subdural air collection causing compression of bilateral frontal lobes with widening of interhemispheric fissure and the frontal lobe...

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Main Authors: Pulastya Sanyal, Keerthiraj Bele, Santosh Phajir Vishwanath Rai
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2015-01-01
Series:Archives of Medicine and Health Sciences
Subjects:
Online Access:http://www.amhsjournal.org/article.asp?issn=2321-4848;year=2015;volume=3;issue=2;spage=352;epage=353;aulast=Sanyal
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author Pulastya Sanyal
Keerthiraj Bele
Santosh Phajir Vishwanath Rai
author_facet Pulastya Sanyal
Keerthiraj Bele
Santosh Phajir Vishwanath Rai
author_sort Pulastya Sanyal
collection DOAJ
description A 13-year-old male was operated for a space occupying lesion in the brain. A noncontrast computed tomography scan done in the late postoperative period showed massive subdural air collection causing compression of bilateral frontal lobes with widening of interhemispheric fissure and the frontal lobes acquiring a peak like configuration - causing tension pneumocephalus-"Mount Fuji sign." Tension pneumocephalus occurs when air enters the extradural or intradural spaces in sufficient volume to exert a mass or pressure effect on the brain, leading to brain herniation. Tension pneumocephalus is a surgical emergency, which needs immediate intervention in the form of decompression of the cranial cavity by a burr hole or needle aspiration. The Mount Fuji sign differentiates tension pneumocephalus from pneumocephalus.
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spelling doaj.art-792b086b46a74ef3b5089bd29320a6982022-12-22T03:18:15ZengWolters Kluwer Medknow PublicationsArchives of Medicine and Health Sciences2321-48482015-01-013235235310.4103/2321-4848.171948Tension pneumocephalus: Mount Fuji signPulastya SanyalKeerthiraj BeleSantosh Phajir Vishwanath RaiA 13-year-old male was operated for a space occupying lesion in the brain. A noncontrast computed tomography scan done in the late postoperative period showed massive subdural air collection causing compression of bilateral frontal lobes with widening of interhemispheric fissure and the frontal lobes acquiring a peak like configuration - causing tension pneumocephalus-"Mount Fuji sign." Tension pneumocephalus occurs when air enters the extradural or intradural spaces in sufficient volume to exert a mass or pressure effect on the brain, leading to brain herniation. Tension pneumocephalus is a surgical emergency, which needs immediate intervention in the form of decompression of the cranial cavity by a burr hole or needle aspiration. The Mount Fuji sign differentiates tension pneumocephalus from pneumocephalus.http://www.amhsjournal.org/article.asp?issn=2321-4848;year=2015;volume=3;issue=2;spage=352;epage=353;aulast=SanyalMount Fujineurosurgical emergencytension pneumocephalus
spellingShingle Pulastya Sanyal
Keerthiraj Bele
Santosh Phajir Vishwanath Rai
Tension pneumocephalus: Mount Fuji sign
Archives of Medicine and Health Sciences
Mount Fuji
neurosurgical emergency
tension pneumocephalus
title Tension pneumocephalus: Mount Fuji sign
title_full Tension pneumocephalus: Mount Fuji sign
title_fullStr Tension pneumocephalus: Mount Fuji sign
title_full_unstemmed Tension pneumocephalus: Mount Fuji sign
title_short Tension pneumocephalus: Mount Fuji sign
title_sort tension pneumocephalus mount fuji sign
topic Mount Fuji
neurosurgical emergency
tension pneumocephalus
url http://www.amhsjournal.org/article.asp?issn=2321-4848;year=2015;volume=3;issue=2;spage=352;epage=353;aulast=Sanyal
work_keys_str_mv AT pulastyasanyal tensionpneumocephalusmountfujisign
AT keerthirajbele tensionpneumocephalusmountfujisign
AT santoshphajirvishwanathrai tensionpneumocephalusmountfujisign