Presentation
Patient with cerebral hemorrhage underwent VP shunt placement followed by loss of consciousness
Patient Data
Age: 18 years old
Gender: Female
From the case:
Pneumocephalus
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Extra axial air is collection extra axially at both frontal, left temporal and interhemispheric fissure giving the appearance of Mount fuji sign indicating tension pneumocephalus.
Nevertheless, there is intraventricular hemorrhage at lateral and 3rd ventricles more appreciated at the right lateral ventricle with moderate ventricular dilatation, right frontal subdural hematoma and subarachnoid hemorrhage.
Case Discussion
After placement of VP shunt the air introduced to the brain and the patient developed tension pneumocephalus which is neurosurgical emergency.