CarlosB DabdoubGueider SalasElisabeth doN SilveiraCarlosF Dabdoub2026-03-222026-03-22201510.4103/2152-7806.166195https://doi.org/10.4103/2152-7806.166195https://andeanlibrary.org/handle/123456789/43306Citaciones: 130The review of the literature, we did not find any cases of tension pneumocephalus documented previously through a supraorbital keyhole approach. There are a few cases reported of patients with Mount Fuji signs that do not require surgical procedures. The conservative treatment in our report leads to clinical and radiological improvement as well as a reduction in hospitalization time.enMedicinePneumocephalusCraniotomyCranial cavityRadiological weaponSurgeryNeuroimagingRadiologySkullKeyholearticle