Hypoliquorreic headache and pneumocephalus caused by thoracosubarachnoid fistula

Autor: LABADIE, ENRIQUE L., HAMILTON, ROBERT H., LUNDELL, DWIGHT C., BJELLAND, JOHN C.
Zdroj: Neurology (Ovid); October 1977, Vol. 27 Issue: 10 p993-995, 3p
Abstrakt: One month after having a right upper lobectomy to remove a squamous cell carcinoma, a 43-year-old man presented with a 4-day history of postural headache, worsened by standing and relieved by lying. Skull films showed prominent ventricular pneumocephalus. lophendylate myelography was unrewarding, but isotope cisternography revealed a CSF fistula at the T4 level, extending into the thoracic cavity. Thoracoplastic removal of the first four ribs successfully prevented air passage and the patient had a rapid uneventful recovery.
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