• Arch. Bronconeumol. · Sep 2004

    Case Reports

    [Pneumocephalus and cerebrospinal fluid fistula following removal of a superior sulcus tumor (pancoast tumor)].

    • B de Olaiz Navarro, P León Atance, and A Alix Trueba.
    • Sección de Cirugía Torácica, Hospital General Universitario, Albacete, Spain. bdeo@sescam.jccm.es
    • Arch. Bronconeumol. 2004 Sep 1; 40 (9): 422-5.

    AbstractPneumocephalus resulting from a subarachnoid-pleural fistula following resection of a pulmonary neoplasm is a very rare postoperative complication: we have found only 17 cases in the literature. We report the case of a 65-year-old man diagnosed with a superior sulcus tumor who underwent a left upper lobectomy and costal resection following neoadjuvant radiation therapy. Soon after surgery, the patient developed a subarachnoid-pleural fistula and pneumocephalus that required reoperation and drainage. Recurrence was suspected when chronic aseptic meningitis developed. Another thoracotomy was required to resolve the complication.

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