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A case of broncho-paraspinal fistula induced by metallic devices: delayed complication of thoracic spinal surgery
Seungnam Son1, Dong-Ho Kang, Dae Seub Choi
1Department of Neurology, Gyeongsang National University School of Medicine, Jinju, Korea.
Abstract:
We present a case report of a 45-year-old woman with spontaneous pneumocephalus accompanied by pneumorrhachis of the thoracic spine, which is a very rare condition generally associated with trauma and thoracic or spinal surgery. The patient had undergone an operation about 10 years earlier to treat a giant cell tumor of the thoracic spine. During the operation, a metallic device was installed, which destroyed the bronchus and caused the formation of a broncho-paraspinal fistula. This is the suspected cause of her pneumocephalus and pneumorrhachis. To our knowledge, this is a very rare case of pneumocephalus accompanied by pneumorrhachis induced by metallic device, and when considering the length of time after surgery these complications presented are also exceptional.
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