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Year : 2019  |  Volume : 6  |  Issue : 3  |  Page : 191-193

Penetrating injury to the maxilla and skull base resulting in the mount fuji sign of tension pneumocephalus and ipsilateral vision loss

1 Department of Radiology, Holy Family Hospital, Thodupuzha, Kerala, India
2 Department of Radiology, Malabar Medical College, Kozhikode, Kerala, India
3 Department of Oral and Maxillofacial Surgery, Sree Anjaneya Institute of Dental Sciences, Kozhikode, Kerala, India
4 Department of Neurosurgery, Malabar Medical College, Kozhikode, Kerala, India
5 Department of Emergency Medicine, Malabar Medical College, Kozhikode, Kerala, India

Correspondence Address:
Reddy Ravikanth
Department of Radiology, Holy Family Hospital, Thodupuzha . 685 605, Kerala,
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/cjhr.cjhr_106_18

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Pneumocephalus is defined as the presence of intracranial air seen most commonly secondary to a traumatic head injury. Tension pneumocephalus is often termed in radiology as the Mount Fuji sign due to a perceived similarity with the iconic mountain peak in Japan. We present the case of a 62-year-old gentleman who presented to the emergency department following a penetrating injury to the right maxilla and skull base which resulted in acute-onset ipsilateral vision loss due to direct traumatic injury to the optic nerve by the fractured bone fragments encountered in the optic canal.

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