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Case Reports
. 2016 Feb 26;14(2):87-9.
doi: 10.5505/1304.7361.2014.93271. eCollection 2014 Jun.

Subarachnoid Pleural Fistula Due to Gunshot Wound

Birdal Gullupinar  1 , Hakan Topacoglu  2
Affiliations
Case Reports

Subarachnoid Pleural Fistula Due to Gunshot Wound

Birdal Gullupinar et al. Turk J Emerg Med. .

Abstract
in English, Turkish

Subarachnoid pleural fistula (SPF) is an extremely rare complication that occurs after dural space and vertebral columns injuries. SPF is divided into two diagnoses based on the absence or presence of pneumocephalus and pneumorrachis. While pneumocephalus is defined as the presence of air the cranial cavity, if there is air in the spinal canal, this is defined as pneumorrhachis. In general, the association of SPF with pneumocephalus and pneumorrachis is rare but can occur after blunt trauma. In our patient, pneumorrhachis and pneumocephalus with SBF developed after the patient suffered a gunshot wound. This paper reports an SPF case accompanied by pneumorrachis and pneumocephalus, which occurred after thoracic spine injury due to a gunshot wound.

Subaraknoid plevral fistül (SPF) son derece nadir bir komplikasyondur. Dural aralık ve vertebral kolonların hasarı sonrası oluşur. SPF pnömosefali ve pnömorachis yokluğu ve varlığı şeklinde iki gruba ayrılır. Pnömosefali, kraniyal kavite içerisinde hava bulunması olarak tanımlanırken spinal kanala hava girmesine ise pnömorachis denir. Genelde pnömosefali ve pnömorachis ile SPF birlikteliği nadirdir ve künt travma sonrası gelişir. Ancak bizim hastamızda pnömosefali ve pnömorachis ile SPF birlikteliği ateşli silah yaralanması sonrası gelişmiştir. Bu yazıda, ateşli silah yaralanması sonrası torakal omurga yaralanmasının neden olduğu pnömorachis ve pnömosefalisi bulunan SPF olgusu sunuldu.

Keywords: Gunshot; pneumocephalus; pneumorrachis; subarachnoid pleural fistula.

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Figures

Figure 1
Figure 1
Bilateral pneumocephalus in brain CT.
Figure 2
Figure 2
The fracture of T2 vertebra with pneumorrachis (a), haemopneumothorax and pneumomediastinium (b).
See this image and copyright information in PMC

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