CC BY-NC-ND 4.0 · Indian Journal of Neurosurgery 2018; 07(03): 278-279
DOI: 10.1055/s-0038-1667388
Letter to the Editor
Neurological Surgeons' Society of India

Mount Fuji is Not as “Active” as We Think

Bibin Sebastian
1   Department of Interventional Radiology & Interventional Oncology, BGS Gleneagles Global Hospitals, Bangalore, India
Junise Moideen
2   Department of Radiology, Post Graduate Institute of Medical Education and Research, Chandigarh, Chandigarh, India
› Author Affiliations
Further Information

Publication History

Received: 05 April 2018

accepted: 10 May 2018

Publication Date:
01 August 2018 (online)


A 65-year-old man presented with headache after a minor head injury (slip and fall with head lightly hitting a chair). Computed tomography (CT) revealed pneumocephalus with Mount Fuji sign. The possibility of tension pneumothorax was suspected. Because the patient did not have any signs of raised intracranial tension (ICT), after his proper counseling, surgery was withheld. In addition to this, the patient was not willing for any procedures; hence he was kept under observation. Repeat CT after 3 days and 1 week showed a progressive reduction in extra-axial air. Neurologic status of the patient remained stable, and he was discharged.

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