title: [Traumatic subarachnoid-pleural fistula causing tension pneumocephalus].
abstract: Uncommon subarachnoid-pleural fistula can be caused by a blunt or penetrating trauma and can also occur after a thoracal or neurosurgical operation, ending to a progredient pneumocephalus. Clinical findings might be an enlarging tension pneumocephalus without a cranial fracture, but in most times they will be overlayed by other accompanied injuries, neurologic symptoms can dominate, also rapidly filling clear pleural effusions with obscure cause. Oppurtune identification of the reason of the pneumocephalus and mostly early surgical intervention prevent neurological deficit, CNS infection and other complications.
authors.affiliation: Abteilung für Röntgendiagnostik in der Chirurgischen Universitätsklinik Würzburg, Germany. moll_r.@klinik.uni-wuerzburg.de
authors.forename: Roland
authors.initials: R
authors.lastname: Moll
authors.forename: Gerhard
authors.initials: G
authors.lastname: Schindler
mesh_terms: D003937:Diagnosis, Differential; D018450:Disease Progression; D004388:Dura Mater / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D005260:Female; D005402:Fistula / Q000000981:diagnostic imaging* / Q000209:etiology; D016489:Head Injuries, Closed / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D004204:Joint Dislocations / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D008875:Middle Aged; D010995:Pleural Diseases / Q000000981:diagnostic imaging* / Q000209:etiology; D011007:Pneumocephalus / Q000000981:diagnostic imaging* / Q000209:etiology; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D016103:Spinal Fractures / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D020206:Subarachnoid Hemorrhage, Traumatic / Q000150:complications* / Q000000981:diagnostic imaging; D013346:Subarachnoid Space / Q000000981:diagnostic imaging*; D013904:Thoracic Vertebrae / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D014057:Tomography, X-Ray Computed