The patient had pneumocephalus due to a bony defect at the level of his scalp tumour. As shown in fig 1, the frontal lobes are compressed and the interhemispheric space between the two tips of the frontal lobes gives rise to the “Mount Fuji” sign, named after its resemblance to the silhouette of the Japanese volcano. A CT of the vertex on a bone window (fig 2) shows the scalp defect, with exten...

Intracranial pneumatocele is a non-infected accumulation of air within the cranial cavity. We report a case of a 22-year-old male who sustained a fracture of anterior cranial fossa following a motor vehicle accident and the imaging findings showed a concave-convex epidural haematoma. Simple traumatic pneumocephalus usually does not require surgical treatment and non-operative management has bee...

Hachisu T, et al. BMJ Case Rep 2017. doi:10.1136/bcr-2017-222288 Description A 74-year-old man presented to the emergency department with slightly impaired consciousness (Glasgow Coma Scale (GCS): E3V5M6) after a fight while drinking alcohol. The next day, he developed a strong headache and gradually deteriorating consciousness (GCS: E3V4M6) with watery rhinorrhoea (see online supplementary vid...

Tension pneumocephalus results from intracranial air under pressure as a rare complication after head injury or craniofacial surgery. A 58-year-old man underwent ethmoid sinus surgery and subsequently developed rapidly progressive global headache, restlessness, diplegia with sensory loss, and deterioration of the conscious level. A head CT demonstrated extensive pneumocephalus with gross compre...