Duropleural fistula revealed by neurological manifestations: an unusual cause of pleural effusion

Symptomatic pleural collection of cerebrospinal fluid is a rare but accepted complication in hydrocephalic paediatric patients treated with ventriculopleural shunts. Few cases have been described in adults, usually as complication of trauma, tumours or spinal surgery, particularly post-laminectomy....

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Bibliographic Details
Published in:Anaesthesia and intensive care 2010, Vol.38 (1), p.201-203
Main Authors: MASKIN, L. P, RAIMONDI, A, HLAVNICKA, A, DIAZ, M. F, ROURA, N, WAINSZTEIN, N
Format: Article
Language:English
Subjects:
Anesthesia
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Care and treatment
Case studies
Diagnosis
Dura Mater - diagnostic imaging
Female
Fistula
Fistula - complications
Fistula - diagnosis
Fistula - diagnostic imaging
Gait Disorders, Neurologic - etiology
Health aspects
Humans
Magnetic Resonance Imaging
Male
Medical sciences
Middle Aged
Nervous system diseases
Nervous System Diseases - etiology
Pain - etiology
Paresthesia - etiology
Patient outcomes
Pentetic Acid
Pleural Diseases - complications
Pleural Diseases - diagnosis
Pleural Diseases - diagnostic imaging
Pleural Effusion - etiology
Pleural effusions
Positron-Emission Tomography
Radiopharmaceuticals
Risk factors
Technetium Tc 99m Pentetate
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Summary:Symptomatic pleural collection of cerebrospinal fluid is a rare but accepted complication in hydrocephalic paediatric patients treated with ventriculopleural shunts. Few cases have been described in adults, usually as complication of trauma, tumours or spinal surgery, particularly post-laminectomy. It should be considered in the differential diagnosis of pleural effusion after neurosurgical procedures involving the spine. We describe two patients with large cerebrospinal fluid collections in the pleural cavity caused by postoperative duropleural fistula, who presented with neurological symptoms, cerebrospinal fluid pressure headache and meningitis.
ISSN:0310-057X
1448-0271
DOI:10.1177/0310057X1003800132