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CT scans of patients with a tension pneumocephalus typically show air that compresses the frontal lobes of the brain, which results in a tented appearance of the brain in the skull known as the Mount Fuji sign. [1] [2] [3] The name is derived from the resemblance of the brain to Mount Fuji in Japan, a volcano known for its symmetrical cone.
The base of skull, also known as the cranial base or the cranial floor, is the most inferior area of the skull. It is composed of the endocranium and the lower parts of the calvaria . Structure
Superior view of the skull base. posterior cranial fossa shown in green. 1: Dorsum sellae of the sphenoid bone 2: Superior borders of the petrous part of the temporal bone. 3: Groove for transverse sinus of the occipital bone
The anterior clinoid process projects over the internal carotid artery, which supplies the majority of blood to the brain. Because of the "spear-like" shape of the ACP and the large size of this artery, it is possible (though rare) that as a complication of major head trauma, the ACP may puncture the vessel and cause intracranial hemorrhage. [4]
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Lack of CSF pressure and volume can allow the brain to sag and descend through the foramen magnum (large opening) of the occipital bone, at the base of the skull. The lower portion of the brain is believed to stretch or impact one or more cranial nerve complexes, thereby causing a variety of sensory symptoms. Nerves that can be affected and ...
The Hangman's fracture which is a fracture of the C2 vertebral body or dens of the cervical spine upon which the skull base sits to allow the head to rotate, can also be associated with atlanto-occipital dislocation. Despite its eponym, the fracture is not usually associated with a hanging mechanism of injury.
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