Traumatic subarachnoid-pleural fistula in a child. A case report.
A seven-year-old girl sustained a gunshot wound to the chest and spine. Evaluation of a persistent pleural effusion demonstrated a subarachnoid-pleural fistula. Surgical closure of the dural defect resulted in resolution of the fistula. Traumatic subarachnoid-pleural fistulae are rare. The diagnosis is reached by an awareness of fistula formation from penetrating or blunt trauma to the chest.
Salerni
A A
AA
Department of Neurosurgery, Rhode Island Hospital, Providence.
Kuivila
T E
TE
Drvaric
D M
DM
Deutsch
S D
SD
Knuckey
N W
NW
D002648:Child; D005260:Female; D005402:Fistula / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D006801:Humans; D010995:Pleural Diseases / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D010996:Pleural Effusion / Q000175:diagnosis / Q000209:etiology; D013118:Spinal Cord Diseases / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D013346:Subarachnoid Space; D014948:Wounds, Gunshot / Q000150:complications*