Sensitivity of the Mount Fuji Sign After Evacuation of Chronic Subdural Hematoma in Nonagenarians.

Abstract:

BACKGROUND:The Mount Fuji sign (MFS) is a radiological sign on computed tomographic scans depicting air between the frontal lobes. Air in this location indicates tension pneumocephalus (TP), considered a neurosurgical emergency.We evaluate the correlation between the MFS and perioperative mortality attributed to TP in nonagenarians who have undergone evacuation of chronic subdural hemorrhage (cSDH). MATERIALS AND METHODS:We retrospectively reviewed the records of nonagenarians who had cSDH evacuation between 2006 and 2015. Postoperative computed tomographic images were evaluated for findings consistent with the MFS. RESULTS:Of 45 patients, 15 patients (33%) had radiological MFS, and 3 patients (20%) with MFS required reoperation because of new blood collection. No patient required reoperation because of TP. Perioperative (30-day) mortality in patients demonstrating the MFS was 6.67% caused by cardiac arrhythmia versus 13.33% mortality in patients with no evidence of the MFS. CONCLUSION:Mount Fuji sign in nonagenarians after cSDH evacuation is not a specific sign of TP.

journal_name

J Comput Assist Tomogr

authors

Moscovici S,Halevy D,Mizrahi CJ,Goldberg SN,Brown DW,Ben-David E

doi

10.1097/RCT.0000000000000897

subject

Has Abstract

pub_date

2019-09-01 00:00:00

pages

686-689

issue

5

eissn

0363-8715

issn

1532-3145

journal_volume

43

pub_type

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