Tension pneumocephalus: the neurosurgical emergency equivalent of tension pneumothorax

John Julian Harvey, Simon Christopher Harvey, Antonio Belli

Research output: Contribution to journalArticlepeer-review


Tension pneumocephalus (TP) is the intracranial equivalent of tension pneumothorax. It is an unusual but life-threatening neurosurgical emergency, which has been described following head trauma, epidural injections or complicating neurological, spinal, craniofacial or sinus surgery. Unfortunately, the signs and symptoms of TP are non-specific and the diagnosis must be made by prompt recognition of the classic imaging signs of TP, allowing lifesaving emergency decompression. We present a trauma patient demonstrating the "Mount Fuji" sign on an unenhanced CT scan of the brain, which is reportedly specific for TP.

Original languageEnglish
Pages (from-to)20150127
JournalBJR case reports
Issue number2
Publication statusPublished - 2016


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