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Ann Thorac Surg 1995;59:234-236
© 1995 The Society of Thoracic Surgeons

Case Report

Pneumocephalus Complicating Routine Thoracotomy: Symptoms, Diagnosis, and Management

W. Morris Brown, III, MD, Panagiotis N. Symbas, MD

Division of Cardiothoracic Surgery, Department of Surgery, Emory University School of Medicine, Atlanta, Georgia

Accepted for publication May 16, 1994.

Pneumocephalus resulting from a subarachnoid-pleural fistula most commonly occurs after trauma. Such a complication is very rarely seen after thoracotomy alone, with 15 cases reported to date in the literature. We report a case of pneumocephalus and subarachnoid-pleural fistula that developed secondary to thoracotomy. It was diagnosed by postmyelography computed tomography and treated with open surgical repair after a trial of conservative therapy failed. The presenting symptoms and signs, diagnostic methods, and options for therapy are reviewed.




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