Pneumocephalus complicating routine thoracotomy: symptoms, diagnosis and management
- PMID: 7818338
- DOI: 10.1016/0003-4975(94)00434-9
Pneumocephalus complicating routine thoracotomy: symptoms, diagnosis and management
Abstract
Pneumocephalus resulting from a subarachnoid-pleural fistula most commonly occurs after trauma. Such a complication is very rarely seen after thoracotomy alone, with 15 cases reported to date in the literature. We report a case of pneumocephalus and subarachnoid-pleural fistula that developed secondary to thoracotomy. It was diagnosed by postmyelography computed tomography and treated with open surgical repair after a trial of conservative therapy failed. The presenting symptoms and signs, diagnostic methods, and options for therapy are reviewed.
Comment in
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Tension pneumocephalus secondary to iatrogenic subarachnoid pleural fistula: certain clarifications.Ann Thorac Surg. 2002 Apr;73(4):1357; author reply 1357. doi: 10.1016/s0003-4975(02)03375-1. Ann Thorac Surg. 2002. PMID: 11996301 No abstract available.
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