title: Video-assisted thorascopic repair of a subarachnoid-pleural fistula in a child after thoracic tumor resection: technical note.
abstract: METHODS
  Technical report.
  
  
  OBJECTIVE
  To describe a minimally invasive surgical approach for the obliteration of a subarachnoid-pleural fistula in a 4-year-old child after resection of an intrathoracic ganglioneuroma.
  
  
  BACKGROUND
  Development of a subarachnoid-pleural fistula has been reported after thoracotomy for lung, chest wall, and spinal tumors, when an iatrogenic meningeal laceration results in establishing communication between the spinal subarachnoid space and the pleural cavity.
  
  
  METHODS
  Review of a single case in which video-assisted thorascopic surgery (VATS) was used to deposit fibrin glue and to suture a pleural allograft. Literature review was performed to document other options to treat subarachnoid-pleural cerebrospinal fluid (CSF) fistula.
  
  
  RESULTS
  At 10 months after VATS repair, the CSF fistula has remained closed.
  
  
  CONCLUSIONS
  VATS technique should be considered for a safe, efficacious, and durable CSF leak repair and as an alternative to open thoracotomy in the pediatric age group.
authors.affiliation: Division of Pediatric Neurosurgery, Department of Neurosurgery, Texas Children's Hospital, Houston, TX, USA.
authors.forename: Ryan S
authors.initials: RS
authors.lastname: Kitagawa
authors.forename: Krishna B
authors.initials: KB
authors.lastname: Satyan
authors.forename: Katherine
authors.initials: K
authors.lastname: Relyea
authors.forename: Robert C
authors.initials: RC
authors.lastname: Dauser
authors.forename: Jed G
authors.initials: JG
authors.lastname: Nuchtern
authors.forename: Paul K
authors.initials: PK
authors.lastname: Minifee
authors.forename: William E
authors.initials: WE
authors.lastname: Whitehead
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Curry
authors.forename: Thomas G
authors.initials: TG
authors.lastname: Luerssen
authors.forename: Andrew
authors.initials: A
authors.lastname: Jea
mesh_terms: D002675:Child, Preschool; D005260:Female; D015718:Fibrin Tissue Adhesive; D005729:Ganglioneuroma / Q000601:surgery; D006801:Humans; D010995:Pleural Diseases / Q000209:etiology / Q000601:surgery*; D010996:Pleural Effusion / Q000209:etiology / Q000601:surgery; D016156:Respiratory Tract Fistula / Q000209:etiology / Q000601:surgery*; D013346:Subarachnoid Space; D013899:Thoracic Neoplasms / Q000601:surgery; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods*; D013908:Thoracotomy / Q000009:adverse effects*; D016896:Treatment Outcome
chemical_list: D015718:Fibrin Tissue Adhesive