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Related Experiment Videos

Persistent pleural effusion and post-traumatic subarachnoidal-pleural fistula.

M F Jimenez1, R Roca, C Alvarez

  • 1Thoracic Surgery Service, 12 Octubre Hospital School of Medicine, Complutense University, Madrid, Spain.

European Journal of Cardio-Thoracic Surgery : Official Journal of the European Association for Cardio-Thoracic Surgery
|January 1, 1991
PubMed
Summary

Post-traumatic subarachnoidal-pleural fistulae are rare, with only 22 cases documented. Successful surgical treatment via thoracotomy is highlighted for this condition, emphasizing diagnostic myelography and intervention.

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Area of Science:

  • Neurosurgery
  • Thoracic Surgery
  • Diagnostic Imaging

Background:

  • Post-traumatic subarachnoidal-pleural fistulae are infrequent complications following thoracic trauma.
  • Literature review reveals a scarcity of documented cases, with only 22 reported instances.

Observation:

  • A unique case of a patient successfully treated for a subarachnoidal-pleural fistula 1.5 years post-blunt thoracic trauma is presented.
  • The patient underwent successful surgical closure via thoracotomy.

Findings:

  • Myelography is identified as the preferred diagnostic imaging modality for identifying these fistulae.
  • Surgical intervention, specifically thoracotomy, is often necessary for definitive treatment.

Implications:

Related Experiment Videos

  • This case underscores the importance of considering rare diagnoses like subarachnoidal-pleural fistulae in patients with a history of thoracic trauma.
  • Effective management relies on accurate diagnosis with myelography and surgical repair.