Tension Pneumocephalus Following Bilateral Craniotomies
نویسندگان
چکیده
Pneumocephalus is defined as a collection of air within the cranial cavity. It is a common finding following head injury with skull base fracture and neurosurgical procedures. Tension pneumocephalus is a rare complication. The diagnosis is clinical and radiological with the characteristic Mount Fuji sign seen on computed tomography (CT). It is a neurosurgical emergency, and early recognition and treatment are vital.
منابع مشابه
Tension pneumocranium in childhood trauma.
BACKGROUND To report a case of fatal tension pneumocephalus in a 9-year-old boy following a severe motor vehicle accident. METHODS A young boy with a serious closed head injury was resuscitated in the emergency room and underwent CT scan of the head and orbits. RESULTS The CT-scan revealed a fracture of the orbital roof with extensive bilateral pneumocephalus. CONCLUSIONS A high index of ...
متن کاملMount Fuji sign in tension pneumocephalus.
The Mount Fuji sign is seen in bilateral subdural hypertensive pneumocephalus. These air collections cause compression of the frontal lobes, which take a shape similar to the silhouette of Mount Fuji. It is most commonly seen after surgical decompression of a chronic subdural hematoma. However, it may also be observed following head trauma, otogenic infections, nitrous oxide anesthesia and diving.
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Tension pneumocephalus is rare but has been well documented following trauma and neurosurgical procedures. It is a surgical emergency as it can lead to neurological deterioration, brainstem herniation and death. Unlike previous cases where tension pneumocephalus developed postoperatively, we describe a case of intraoperative tension pneumocephalus leading to sudden, massive open brain herniatio...
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