31+ Mount Fuji Sign Tension Pneumocephalus PNG. Tension pneumocephalus) from subdural air normally observed after sdh evacuation. Commonly secondary to a traumatic head injury.
Thusly named because it resembles the silhouette of the famous mount fuji volcano in japan. The diagnosis is clinical and radiological with the characteristic mount fuji sign seen on computed tomography (ct). Bilateral tension pneumocephalus with significant mass effect and mount fuji sign.
The presence of the mount fiji sign helps distinguish between pathologic subdural air causing mass effect (i.e.
Notice the widening of the interhemispheric space between the tips of the frontal lobes which resembles the silhouette of mt. It occurs due to disruption of the skull, including trauma to the head or face, after neurosurgical procedures and occasionally, spontaneously (schirmer et al., 2010). In brain ct— rinsho shinkeigaku, vol. Tension pneumocephalus presents radiologically with compression of the frontal lobes and widening of the interhemispheric space between the frontal lobes.