Successful use of a vascularized intercostal muscle flap to seal a persistent intrapleural cerebrospinal fluid leak in a child.
The diagnosis and management of a persistent intrapleural-dural cerebrospinal fluid fistula following excision of a large mediastinal ganglioneuroma with intraspinal extension is reported. Use of a vascularized intercostal muscle flap to close the dural fistula was curative in this 4-year-old patient.
Azizkhan
R G
RG
Department of Pediatrics, University of North Carolina School of Medicine, Chapel Hill 27599.
Roberson
J B
JB
Powers
S K
SK
D002555:Cerebrospinal Fluid; D002675:Child, Preschool; D004388:Dura Mater; D005260:Female; D005402:Fistula / Q000601:surgery*; D006801:Humans; D010995:Pleural Diseases / Q000601:surgery*; D011183:Postoperative Complications / Q000601:surgery*; D013118:Spinal Cord Diseases / Q000601:surgery*; D013524:Surgical Flaps