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Related Experiment Videos

Traumatic subarachnoid-pleural fistula

V Sarwal1, R K Suri, O P Sharma

  • 1Department of Cardiothoracic Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

The Annals of Thoracic Surgery
|December 1, 1996
PubMed
Summary
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Traumatic subarachnoid-pleural fistula is rare, often presenting without neurological deficits. Early surgical repair is crucial for successful outcomes in these challenging cases.

Area of Science:

  • Neurosurgery
  • Thoracic Surgery
  • Pediatric Surgery

Background:

  • Traumatic subarachnoid-pleural fistula is an exceedingly rare condition, with only 21 reported cases globally.
  • Diagnosis can be challenging, particularly in pediatric patients lacking neurological deficits.

Observation:

  • Two pediatric cases of subarachnoid-pleural fistula were identified.
  • One patient presented with recurrent, unexplained pleural effusions; the other sustained trauma from a Kirschner wire.
  • Both cases involved potential risks of spinal cord injury and infection.

Findings:

  • Surgical intervention was performed based on high clinical suspicion.
  • Fistulas were located at the T11 and T8 vertebral levels.
  • Repairs utilized autogenous tissues, including a pleural flap and intercostal muscle graft.

Related Experiment Videos

  • Lumbar drainage was employed for subarachnoid space decompression in one case.
  • Implications:

    • A high index of suspicion is vital for diagnosing subarachnoid-pleural fistula when neurological signs are absent.
    • Prompt surgical repair of traumatic subarachnoid-pleural fistulas leads to favorable outcomes.