Tension pneumocephalus resulting from iatrogenic subarachnoid–pleural fistulae: report of three cases Mark H Bilsky, MD, Robert J Downey, MD, Michael.

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Presentation transcript:

Tension pneumocephalus resulting from iatrogenic subarachnoid–pleural fistulae: report of three cases Mark H Bilsky, MD, Robert J Downey, MD, Michael G Kaplitt, MD, Eric H Elowitz, MD, Valerie W Rusch, MD The Annals of Thoracic Surgery Volume 71, Issue 2, Pages 455-457 (February 2001) DOI: 10.1016/S0003-4975(00)02339-0

Fig 1 Axial computed tomographic scan shows pneumocephalus resulting from iatrogenic subarachnoid fistula after chest wall resection for a T1 neurofibroma. Patient presented 6 days postoperatively with headache, cognitive changes, and lethargy. Arrows depict intercranial air, primarily located in basilar cisterns. The Annals of Thoracic Surgery 2001 71, 455-457DOI: (10.1016/S0003-4975(00)02339-0)

Fig 2 Axial computed tomographic scan shows resolution of pneumocephalus 48 hours after discontinuation of chest tube suction. No operative intervention was undertaken to obliterate the cerebrospinal fluid fistula. The arrow indicates resolution of air in the basilar cistern. The Annals of Thoracic Surgery 2001 71, 455-457DOI: (10.1016/S0003-4975(00)02339-0)