J Korean Neurosurg Soc.
2011 Jul;50(1):64-67. 10.3340/jkns.2011.50.1.64.
A Case of Broncho-Paraspinal Fistula Induced by Metallic Devices: Delayed Complication of Thoracic Spinal Surgery
- Affiliations
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- 1Department of Neurology, Gyeongsang National University School of Medicine, Jinju, Korea. brevis1@naver.com
- 2Department of Neurosurgery, Gyeongsang National University School of Medicine, Jinju, Korea.
- 3Department of Radiology, Gyeongsang National University School of Medicine, Jinju, Korea.
- 4Gyeongsang Institute of Health Science, Gyeongsang National University School of Medicine, Jinju, Korea.
- KMID: 2066857
- DOI: http://doi.org/10.3340/jkns.2011.50.1.64
Abstract
- 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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