Traumatic Tension Pneumocephalus with mount Fuji sign and air bubble sign

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Efrem Basazinew
Sofia Kebede
Kalkidan Kebede
Eyouel Elias
Getachew Abebe

Abstract

Introduction: Tension Pneumocephalus is a rare but a life threatening neurosurgical emergency which may need urgent surgical intervention. For diagnosis Brain imaging preferably Brain CT scan is mandatory.


Case presentation: We present a rare case case of post traumatic tension Pneumocephalus in 40 years old man who sustained a road traffic accident. Brain CT scan shows Mount Fuji sign and air bubble sign, which are the typical signs of tension Pneumocephalus. Emergency burr-hole evacuation was carried out and after the procedure the patient was followed by control lateral skull X-ray and then discharged after 10 days of hospital Stay with GCS of 15.


Conclusion: Tension Pneumocephalus is a clinical diagnosis. History with Brain Imaging can easily diagnose it but invasive surgical intervention may be Mandatory to overcome the problem. Knowledge of risk factors ,radiographic findings and clinical signs/symptoms associated with Tension Pneumocephalus is crucial to its Prompt identification and treatment.

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Ethiopia Society of Emergency and Critical Care Medicine Professionals

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How to Cite
Basazinew, E., Kebede, S. . ., Kebede, K. ., Elias, E. ., & Abebe , G. . (2024). Traumatic Tension Pneumocephalus with mount Fuji sign and air bubble sign. Pan African Journal of Emergency Medicine and Critical Care, 2(2). https://doi.org/10.58904/2024/106
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Case Report