Abstract

Compressive pneumocephalus is a rare condition, most often secondary to head trauma or surgery. We report post-operative compressive pneumocephalus in a patient who underwent primary surgery for anterior clinoid meningioma complicated by CSF leakage treated by lumbar spinal drainage. CT scan clearly demonstrates a compressive pneumocephalus with the sign of the Mount Fuji. The patient was treated with definite bed rest and plenty of fluid replacement with good outcome. Compressive pneumocephalus is a serious, infrequent complication anda possible cause of postoperative worsening. Medical treatment combining highly inspired oxygen therapy and rehydration are sufficient to correct the condition.

Keywords

hydration, oxygen therapy, pneumocephalus