Subarachnoid-pleural fistula after resection of a pancoast tumor with hyponatremia.
Resection of superior sulcus neoplasms is associated with a number of complications resulting from the extensive nature of the resection and the necessity to sacrifice certain adjacent structures. One of the complications of resection is the development of subarachnoid-pleural fistula, with the subsequent appearance of air in the cerebrospinal fluid circulation. We report a case in which a subarachnoid-pleural fistula led to persistent pneumocephaly in a patient who exhibited postoperative hyponatremia, confusion, and gait disturbance.
Boyev
P
P
Department of Surgery, University of Maryland, Baltimore, USA.
Krasna
M J
MJ
White
C S
CS
McLaughlin
J S
JS
D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D003221:Confusion / Q000209:etiology; D005402:Fistula / Q000209:etiology*; D005684:Gait; D006801:Humans; D007010:Hyponatremia / Q000209:etiology*; D008175:Lung Neoplasms / Q000601:surgery; D008297:Male; D009069:Movement Disorders / Q000209:etiology; D010178:Pancoast Syndrome / Q000601:surgery*; D010995:Pleural Diseases / Q000209:etiology*; D011007:Pneumocephalus / Q000134:cerebrospinal fluid / Q000209:etiology; D013346:Subarachnoid Space