Persistent Pleural Effusion and Traumatic Subarachnoid-Pleural Fistula

Lesoin, F; Delandsheer, E; Thomas, Clément; Viaud, C; Jomin, M

doi:10.1016/s0140-6736(82)90957-6

Cited by 8 publications

(2 citation statements)

References 9 publications

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“…The first case was reported in 1959 by Milloy, et al 33 A search of Medline records revealed that since that first publication 54 cases have been reported. Thirty-seven were secondary to traumatic injury, [1][2][3][5][6][7][8]11,14,15,17,[20][21][22][23][24]26,29,30,[32][33][34][35][36][37][38][39][40][41][42]44,[47][48][49][50][51][52]55 and 15 to surgery. 4,9,10,12,13,16,19,25,27,28,34,43,45,...…”

Section: Discussionmentioning

confidence: 99%

Treatment of the subarachnoid–pleural fistula

Özgen

Boran²,

Elmacı³

et al. 2000

FOC

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Subarachnoid–pleural fistula is a rare type of cerebrospinal fluid (CSF) fistula, and there are only several cases reported in the literature. The authors describe a 65-year-old male patient in whom a diagnosis of T7–8 disc herniation had been made. He underwent surgery via a right lateral extracavitary approach. Postoperatively he developed progressive respiratory distress and headache. A chest x-ray film revealed a pleural effusion, and computerized tomography (CT) myelography demonstrated a subarachnoidal-pleural fistula at the level at which the herniated disc had been removed. The patient had been managed via a CSF drainage system and a chest tube. He was discharged after relief of symptoms was attained. Subarachnoid–pleural fistulas can be secondary to traumatic injury and surgery, or they can be spontaneous. Patients present with rapidly filling pleural effusion and headache. A diagnosis can be established using CT myelography or myeloscintigraphy. Treatment is conservative, with the placement of a chest tube and insertion of a CSF drainage catheter, and surgical repair should be considered only if the conservative therapy fails.

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Section: Discussionmentioning

confidence: 99%

Treatment of the subarachnoid–pleural fistula

Özgen

Boran²,

Elmacı³

et al. 2000

FOC

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“…24 US can be of use in the investigation of patients with suspected pancreatic pleural fluid, 25 either showing a pancreatic or mediastinal pseudocyst or abdominal changes of pancreatitis. Myelography either with radiographic contrast 26 or radionuclides 27 has been useful in documenting pleurosubarachnoid fistula after surgery or trauma and in localizing the site of the fistula.…”

Section: Pleural Fluidmentioning

confidence: 99%