PMID: 8957362Dec 1, 1996Paper

Traumatic subarachnoid-pleural fistula

The Annals of Thoracic Surgery
V SarwalJ R Bapuraj

Abstract

Traumatic subarachnoid-pleural fistula is a very uncommon but important condition. Only 21 cases have been reported so far in the world literature. We encountered 2 cases of subarachnoid-pleural fistula, both in pediatric patients presenting without any neurologic deficit. Whereas our first patient presented with recurrent, rapidly filling clear pleural effusions with an obscure cause, posing a diagnostic problem for the pediatricians, the second patient had trauma to the pleura and dura mater by the sharp edge of Kirschner wire, with impending risk of injury to spinal cord and infection. Surgical intervention was undertaken after we had a strong suspicion of subarachnoid-pleural fistula in both cases. A subarachnoid-pleural fistula was found at the level of the eleventh thoracic vertebra in the first patient and at the level of the eighth thoracic vertebra in the second patient. Autogenous tissues (mediastinal pleural flap and hammered intercostal muscle covered with methylcellulose) were used to repair the fistula. The subarachnoid space was decompressed with a lumbar drain in the second patient. The diagnosis of subarachnoid-pleural fistula is difficult when it is not associated with any neurologic deficit. We found that a h...Continue Reading

Citations

Mar 24, 2005·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·Kimihiro ShimizuYasuo Morishita
Mar 20, 2008·The Journal of Trauma·Mike K LiangJenifer L Marks
Jul 25, 2006·Neurosurgical Focus·S OzgenM N Pamir
Apr 9, 2004·Journal of Neurosurgery·Stephen J HentschelIan E McCutcheon
Feb 8, 2011·Interactive Cardiovascular and Thoracic Surgery·Rajiv Sharma, Robert K Tam
Dec 21, 2004·Veterinary Radiology & Ultrasound : the Official Journal of the American College of Veterinary Radiology and the International Veterinary Radiology Association·Rebecca A PackerJonathan N Chambers
Nov 16, 2011·ISRN Surgery·Mohammed F ShamjiFarid M Shamji
May 24, 2006·Clinics in Chest Medicine·Steven A Sahn

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