An Unusual Case of Pneumorrhachis Following Resection of Lung Carcinoma

Ristagno, Ross L.; Hiratzka, Loren F.; Rost, Raymond C.

doi:10.1378/chest.121.5.1712

Cited by 40 publications

(32 citation statements)

References 17 publications

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“…We searched PubMed and found some case reports of pneumocephalus/pneumorrhachis due to a CSF fistula that was associated with surgery. Various types of surgery were reported, but majority were lung resection 3,5,6) and the spinal surgery 4,7,9,11) . In almost all reported cases, the intervals between surgery and the development of pneumocephalus/pneumorrhachis were relatively short, from a few days 5,7,9,11) to a few months 3,4) , but the few cases of several years after the surgery were also reported 6,10) .…”

Section: Discussionmentioning

confidence: 99%

A Case of Broncho-Paraspinal Fistula Induced by Metallic Devices: Delayed Complication of Thoracic Spinal Surgery

Son

Kang

Choi

et al. 2011

J Korean Neurosurg Soc

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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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Section: Discussionmentioning

confidence: 99%

A Case of Broncho-Paraspinal Fistula Induced by Metallic Devices: Delayed Complication of Thoracic Spinal Surgery

Son

Kang

Choi

et al. 2011

J Korean Neurosurg Soc

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“…[1][2][3][4][5][6][7] There have been a few published case reports and case series of spontaneous pneumothorax/pneumomediastinum in air force pilots, during basic training which involved the Valsalva maneuver and sudden high-pressure decompression. In most instances the pilots were not fl ying but were on the ground.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, pneumomediastinum (long arrows), extensive subcutaneous emphysema (white arrows), left-sided pneumothorax with a partial collapse of left lower lobe, and pneumorrhachis (short arrows) are also noted subarachnoid pneumorrhachis is more frequently associated with complications such as air in the spinal canal that can travel cephalad to the cranium, thus leading to pneumoencephalus. 6 These patients need closer monitoring as focal neurologic defi cits similar to a stroke may develop.…”

Section: Discussionmentioning

confidence: 99%

Airlessness in Airspace. Simultaneous Occurrence of Spontaneous Pneumothorax with Pneumomediastinum and Pneumorrhachis: Report of a Case

2007

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“…Mostly, spontaneous mediastinal emphysema is diagnosed in young and healthy persons and is often seen combined with a pneumothorax. Mediastinal emphysema in patients with an airway malignancy has been reported as a complication during radiotherapy [2], or during long term ventilation [3], and also as a postsurgical complication [4]. To the best of our knowledge, the occurrence of spontaneous mediastinal emphysema in lung cancer patients has been described only twice: one in association with metastatic lung disease and another in a case of non-small cell lung cancer [5,6].…”

Section: Discussionmentioning

confidence: 99%