Mount Fuji Sign on CT Following Trauma

Mattick, A; Goodwin, Peter M.

doi:10.1097/01.ta.0000174369.41183.9e

Cited by 8 publications

(5 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A comprehensive summary of literature sources utilized in this report. [1234578915313233343536373839]…”

Section: Discussionmentioning

confidence: 99%

“…[356] Knowledge of risk factors, radiographic findings, and clinical signs/symptoms associated with TP is crucial to its prompt identification and treatment. [478] Clinical diagnostic and treatment delays may result in poor neurologic outcome and mortality. [9] Treatment may involve a combination of (a) surgical removal of intracranial air; (b) supine or Trendelenburg positioning; (c) administration of 100% oxygen; (d) repair of the bone/dural defects; and (e) drain placement into the air-containing space.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Traumatic tension pneumocephalus – Two cases and comprehensive review of literature

Pillai

Sharma

MacKenzie

et al. 2017

Int J Crit Illn Inj Sci

View full text Add to dashboard Cite

Although traumatic pneumocephalus is not uncommon, it rarely evolves into tension pneumocephalus (TP). Characterized by the presence of increasing amounts of intracranial air and concurrent appearance or worsening neurological symptoms, TP can be devastating if not recognized and treated promptly. We present two cases of traumatic TP and a concise review of literature on this topic. Two cases of traumatic TP are presented. In addition, a literature search revealed 20 additional cases, of which 18 had sufficient information for inclusion. Literature cases were combined with the 2 reported cases and analyzed for demographics, mechanism of injury, symptoms, time to presentation (acute <72 h; delayed >72 h), diagnostic/treatment modalities, and outcomes. Twenty cases were analyzed (17 males, 3 females, median age 26, range 8–92 years). Presentation was acute in 13/20 and delayed in 7/20 patients. Injury mechanisms included motor vehicle collisions (6/20), assault/blunt trauma to the craniofacial area (5), falls (4), and motorcycle/ bicycle crashes (3). Common presentations included depressed mental status (10/20), cerebrospinal fluid rhinorrhea (9), headache (8), and loss of consciousness (6). Computed tomography (CT) was utilized in 19/20 patients. Common underlying injuries were frontal bone/sinus fracture (9/20) and ethmoid fracture (5). Intracranial hemorrhage was seen in 5/20 patients and brain contusions in 4/20 patients. Nonoperative management was utilized in 6/20 patients. Procedural approaches included craniotomy (11/20), emergency burr hole (4), endoscopy (2), and ventriculostomy (2). Most patients responded to initial treatment (19/20). One early and one delayed death were reported. Traumatic TP is rare, tends to be associated with severe craniofacial injuries, and can occur following both blunt and penetrating injury. Early recognition and high index of clinical suspicion are important. Appropriate treatment results in improvement in vast majority of cases. CT scan is the diagnostic modality of choice for TP.Republished with permission from:Pillai P, Sharma R, MacKenzie L, Reilly EF, Beery II PR, Papadimos TJ, Stawicki SPA. Traumatic tension pneumocephalus: Two cases and comprehensive review of literature. OPUS 12 Scientist 2010;4(1):6-11.

show abstract

“…A comprehensive summary of literature sources utilized in this report. [1234578915313233343536373839]…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Traumatic tension pneumocephalus – Two cases and comprehensive review of literature

Pillai

Sharma

MacKenzie

et al. 2017

Int J Crit Illn Inj Sci

View full text Add to dashboard Cite

show abstract

“…It suggests that pressure of the gas is at least greater than the surface tension of CSF between the frontal lobes. 8 9 It is caused by cortical veins tethering the frontal lobes, resulting in this characteristic appearance. In the emergency department, optic nerve sheath diameter can be used to look for signs of raised intracranial pressure (ICP).…”

Section: Discussionmentioning

confidence: 99%

Trauma-Associated Tension Pneumocephalus with Characteristic Mount Fuji Sign—Case Report

Khandelwal

Ajayababu

Sinha

et al. 2021

Indian Journal of Neurotrauma

View full text Add to dashboard Cite

Tension pneumocephalus is a rare and life-threatening neurosurgical emergency in the setting of blunt or penetrating head trauma, especially in those with craniofacial fractures, which emergency physicians should be aware about. Early identification and appropriate treatment measures including supine positioning, 100% oxygen via mask, early neurosurgery consultation and, if required, operative intervention are paramount to optimal neurological and survival outcome. Definitive diagnosis requires imaging usually in the form of computed tomography (CT) head and serial monitoring of neurological status, optic nerve sheath diameter measurement and repeat imaging, essential to identify patients who might have features of increased pressure on brain matter, which could lead to adverse neurological and clinical outcomes. We present two cases of tension pneumocephalus with the characteristic Mount Fuji sign on CT head, who were managed nonoperatively with optimal neurological outcome. In patients with severe head or maxillofacial trauma presenting to emergency department, CT should be evaluated for signs of tension pneumocephalus, and such patients need to be closely observed for complications of pressure effect on brain matter to ensure optimal neurological and survival outcomes.

show abstract

“…5 e 6), e quando causa compressão e separação do lobo frontal, com afastamento da ponta dos lobos frontal, caracteriza o sinal do Monte Fuji (Fig. 7) 40,63,89,94,114 .…”

Section: Exames Complementaresunclassified

Pneumoencéfalo

Pereira¹,

Dezena²,

Meguins³

et al. 2018

jbnc

View full text Add to dashboard Cite

Pneumoencéfalo é definido como uma coleção de ar ou gás na cavidade intracraniana. Pode ser localizado no espaço epidural, subdural, subaracnóideo, intracerebral e intraventricular. Geralmente encontra-se associado a inúmeras causas como intervenções neurocirúrgicas, neoplasias, infecções, anestesia espinhal, mas na maioria das vezes está associado a trauma craniofacial. Também pode ter origem iatrogênica e sua ocorrência espontânea é rara. A tomografia computadorizada de crânio tem papel fundamental na localização precisa da coleção de ar intracraniano. Pode ser assintomático ou apresentar sinais de elevação da pressão intracraniana e na maioria dos casos seu tratamento é conservador.

show abstract

Mount Fuji Sign on CT Following Trauma

Cited by 8 publications

References 0 publications

Traumatic tension pneumocephalus – Two cases and comprehensive review of literature

Traumatic tension pneumocephalus – Two cases and comprehensive review of literature

Trauma-Associated Tension Pneumocephalus with Characteristic Mount Fuji Sign—Case Report

Pneumoencéfalo

Contact Info

Product

Resources

About