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Subarachnoid-pleural fistula

E W Beutel, J D Roberts, H T Langston

    The Journal of Thoracic and Cardiovascular Surgery
    |July 1, 1980
    PubMed
    Summary
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    This case report details a rare subarachnoid-pleural fistula, confirming myelography and RISA-131 scanning for diagnosis. Methyl methacrylate adhesive was successfully used for surgical closure.

    Area of Science:

    • Neurosurgery
    • Thoracic Surgery
    • Diagnostic Imaging

    Background:

    • Subarachnoid-pleural fistula is a rare condition.
    • The first case was reported in 1959.
    • Accurate diagnosis and localization are crucial for surgical intervention.

    Observation:

    • This tenth case report describes a patient with a subarachnoid-pleural fistula.
    • Myelography was utilized for diagnosis and surgical target localization.
    • RISA-131 scanning techniques were also employed.

    Findings:

    • Myelography confirmed its diagnostic value.
    • RISA-131 scanning demonstrated usefulness in this condition.
    • Methyl methacrylate plastic adhesive was used for fistula closure, a novel approach.

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    Implications:

    • This case reconfirms the efficacy of myelography for subarachnoid-pleural fistulas.
    • RISA-131 scanning is a valuable diagnostic tool.
    • Methyl methacrylate adhesive represents a new potential treatment for fistula closure.