Tension pneumocephalus: case report and review

Published:August 16, 2022DOI:


      Tension pneumocephalus is a rare complication of frontal sinus fracture or neurosurgical intervention resulting from compression of the brain by entrapped air, leading to seizure, altered mental status, brain herniation, and death. This report presents a case of traumatic tension pneumocephalus associated with an anterior and posterior table frontal sinus fracture in a patient with pneumosinus dilatans and osteogenesis imperfecta.


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        • Pillai P.
        • Sharma R.
        • MacKenzie L.
        • Reilly E.F.
        • Beery 2nd, P.R.
        • Papadimos T.J.
        • Stawicki S.P.
        Traumatic tension pneumocephalus—two cases and comprehensive review of literature.
        Int J Crit Illn Inj Sci. 2017; 7: 58-64
        • Dandy W.E.
        Pneumocephalus (intracranial pneumatocele or aerocele).
        Arch Surg. 1926; 12: 949-982
        • Horowitz M.
        Intracranial pneumocoele. An unusual complication following mastoid surgery.
        J Laryngol Otol. 1964; 78: 128-134
        • Ishiwata Y.
        • Fujitsu K.
        • Sekino T.
        • Fujino H.
        • Kubokura T.
        • Tsubone K.
        • Kuwabara T.
        Subdural tension pneumocephalus following surgery for chronic subdural hematoma.
        J Neurosurg. 1988; 68: 58-61
        • Heckmann J.G.
        • Ganslandt O.
        Images in clinical medicine. The Mount Fuji sign.
        N Engl J Med. 2004; 3501881