Subarachnoid pleural fistula and subsequent pneumocephalus as complication of vertebral body replacement of the thoracic spine

被引：0

作者：

Schulz, N. ^{[1
]}

Kolenda, H. ^{[2
]}

Thiel, A. ^{[3
]}

Vestring, T. ^{[4
]}

Schulte, M. ^{[1
]}

机构：

[1] Diakoniekrankenhaus Rotenburg Wumme, Klin Unfall & Wiederherstellungschirurg, Rotenburg, Germany

[2] Diakoniekrankenhaus Rotenburg Wumme, Klin Neurochirurg, Rotenburg, Germany

[3] Diakoniekrankenhaus Rotenburg Wumme, Klin Psychiat & Psychotherapie, Rotenburg, Germany

[4] Diakoniekrankenhaus Rotenburg Wumme, Inst Diagnost & Intervent Radiol, Rotenburg, Germany

来源：

UNFALLCHIRURG | 2010年 / 113卷 / 11期

关键词：

Pneumocephalus; Subarachnoid pleural fistula; Vertebral body replacement; Thoracotomy; Complication; Delirium; TENSION PNEUMOCEPHALUS;

D O I：

10.1007/s00113-010-1798-4

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

A pneumocephalus caused by a subarachnoid pleural fistula following spinal surgery using an anterior approach is a rare complication, especially in vertebral body replacement. We report the case of a 66-year-old male suffering from metastatic prostatic cancer of the thoracic spine who underwent replacement of a vertebral body using a transthoracic approach. A pneumocephalus occurred 4 weeks postoperatively resulting in delirium.

引用

页码：951 / +

页数：5

共 17 条

[1] Atraumatic pneumocephalus: A case report and review of the literature [J].

Babl, FE ;

Arnett, AM ;

Barnett, E ;

Brancato, JC ;

Kharasch, SJ ;

Janecka, IP .

PEDIATRIC EMERGENCY CARE, 1999, 15 (02) :106-109

[2] Tension pneumocephalus resulting from iatrogenic subarachnoid-pleural fistulae: Report of three cases [J].

Bilsky, MH ;

Downey, RJ ;

Kaplitt, MG ;

Elowitz, EH ;

Rusch, VW .

ANNALS OF THORACIC SURGERY, 2001, 71 (02) :455-457

[3] TENSION PNEUMOCEPHALUS FOLLOWING SURGERY FOR SUBDURAL-HEMATOMA [J].

BOUZARTH, WF ;

HASH, CJ ;

LINDERMUTH, JR .

JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1980, 20 (06) :460-463

[4] Massive pleural effusion as the presenting feature of a subarachnoid-pleural fistula [J].

D'Souza, R ;

Doshi, A ;

Bhojraj, S ;

Shetty, P ;

Udwadia, Z .

RESPIRATION, 2002, 69 (01) :96-99

[5] SYMPTOMATOLOGY OF CEREBRAL GAS EMBOLISM [J].

GILLEN, HW .

NEUROLOGY, 1968, 18 (05) :507-+

[6]

HARTING I, 2002, ROFO-FORTSCHR RONTG, V174, P1205

[7]

Hessler C, 2007, CHIRURG, V78, P915, DOI 10.1007/s00104-007-1350-4

[8] Intraparenchymal tension pneumatocele complicating frontal sinus osteoma: Case report [J].

Johnson, D ;

Tan, L .

NEUROSURGERY, 2002, 50 (04) :878-879

[9] PNEUMOCEPHALUS - A COMPLICATION OF CONTINUOUS POSITIVE AIRWAY PRESSURE AFTER TRAUMA [J].

KLOPFENSTEIN, CE ;

FORSTER, A ;

SUTER, PM .

CHEST, 1980, 78 (04) :656-657

[10] Tension pneumocephalus and pneumorachis secondary to subarachnoid pleural fistula [J].

Lin, MBK ;

Cheah, FK ;

Ng, SES ;

Yeo, TT .

BRITISH JOURNAL OF RADIOLOGY, 2000, 73 (867) :325-327

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