An unusual cause of acute headache: subarachnoid free air secondary to spontaneous bronchopleurodurosubarachnoid fistula from a Pancoast tumor.
Pneumocephalus and pneumorrhachis are related to transgression of the barriers to the central nervous system. We present a patient with a Pancoast tumor treated with palliative chemoradiation who developed symptomatic spinal and intracranial air caused by spontaneous bronchopleurodurosubarachnoid fistula secondary to direct tumor invasion into the thecal sac.
Department of Radiology, University of Mississippi Medical Center, 2500 N State St, Jackson, MS 39216, USA.
Dmitriy N
DN
Kazimirko
Department of Radiology, University of Mississippi Medical Center, 2500 N State St, Jackson, MS 39216, USA.
Ellen E
EE
Parker
Department of Radiology, University of Mississippi Medical Center, 2500 N State St, Jackson, MS 39216, USA.
David A
DA
Joyner
Department of Radiology, University of Mississippi Medical Center, 2500 N State St, Jackson, MS 39216, USA.
Teddi H
TH
Berry
Department of Radiology, University of Mississippi Medical Center, 2500 N State St, Jackson, MS 39216, USA.
Charlotte S
CS
Taylor
Department of Radiology, University of Mississippi Medical Center, 2500 N State St, Jackson, MS 39216, USA.
Todd A
TA
Nichols
Department of Radiology, University of Mississippi Medical Center, 2500 N State St, Jackson, MS 39216, USA.
Majid A
MA
Khan
Bronchopleurodurosubarachnoid fistula; Pneumocephalus; Pneumorrhachis