Spontaneous subarachnoid pleural fistula: a rare complication of lateral thoracic meningocele

Spontaneous subarachnoid pleural fistula: a rare complication of lateral thoracic meningocele

A case of spontaneous subarachnoid pleural fistula following rupture of a thoracic meningocele into the pleural cavity is described in this article. The patient had symptoms of low-pressure headache and difficulty in breathing. The fistulous opening was closed near the foramina by rotating a vascula...

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Published in:Neurology India Vol. 58; no. 3; pp. 466 - 467
Main Authors: Kumar, Vimal, Bundela, Yashpal Singh, Gupta, Vikas, Dua, Sanjeev, Singh, Anil Kumar
Format: Journal Article
Language:English
Published: India Medknow Publications and Media Pvt. Ltd 01-05-2010
Medknow Publications & Media Pvt. Ltd
Subjects:
Abnormalities
Case studies
Complications and side effects
Diagnosis
Encephalocele - complications
Fistula
Fistula - complications
Fistula - etiology
Fistula - pathology
Humans
Magnetic Resonance Imaging - methods
Male
Meningocele - complications
Meningocele - pathology
Middle Aged
Neural tube
Pediatrics
Pleural Diseases - complications
Pleural Diseases - etiology
Thoracic Vertebrae - pathology
India
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Abstract A case of spontaneous subarachnoid pleural fistula following rupture of a thoracic meningocele into the pleural cavity is described in this article. The patient had symptoms of low-pressure headache and difficulty in breathing. The fistulous opening was closed near the foramina by rotating a vascularized muscle flap. After showing initial improvement the patient had a recurrence of symptoms after 6 weeks, with a small leak at the closure site. A lumbar thecoperitoneal shunt led to permanent cure. In this article we discuss the course of the disease, the symptoms, the diagnostic methods, and the various treatment modalities for subarachnoid pleural fistula.
AbstractList A case of spontaneous subarachnoid pleural fistula following rupture of a thoracic meningocele into the pleural cavity is described in this article. The patient had symptoms of low-pressure headache and difficulty in breathing. The fistulous opening was closed near the foramina by rotating a vascularized muscle flap. After showing initial improvement the patient had a recurrence of symptoms after 6 weeks, with a small leak at the closure site. A lumbar thecoperitoneal shunt led to permanent cure. In this article we discuss the course of the disease, the symptoms, the diagnostic methods, and the various treatment modalities for subarachnoid pleural fistula.
Audience Academic
Author Singh, Anil Kumar
Kumar, Vimal
Bundela, Yashpal Singh
Dua, Sanjeev
Gupta, Vikas
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  organization: Division of Neurosurgegry, Department of Neurosciences, Fortis Hospital, Sector 62, Noida, Uttar Pradesh, India. vimal.kumar@fortishealthcare.com
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  givenname: Anil Kumar
  surname: Singh
  fullname: Singh, Anil Kumar
BackLink https://www.ncbi.nlm.nih.gov/pubmed/20644282$$D View this record in MEDLINE/PubMed
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McCormack (key-10.4103/0028-3886.66086-5) 1976
Milloy (key-10.4103/0028-3886.66086-2) 1959
Mark (key-10.4103/0028-3886.66086-4) 2000
Lloyd (key-10.4103/0028-3886.66086-3) 2002
Yoshor (key-10.4103/0028-3886.66086-8) 2001
Valla (key-10.4103/0028-3886.66086-7) 2007
D′Souza (key-10.4103/0028-3886.66086-6) 2002
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SubjectTerms Abnormalities
Case studies
Complications and side effects
Diagnosis
Encephalocele - complications
Fistula
Fistula - complications
Fistula - etiology
Fistula - pathology
Humans
Magnetic Resonance Imaging - methods
Male
Meningocele - complications
Meningocele - pathology
Middle Aged
Neural tube
Pediatrics
Pleural Diseases - complications
Pleural Diseases - etiology
Thoracic Vertebrae - pathology
Title Spontaneous subarachnoid pleural fistula: a rare complication of lateral thoracic meningocele
URI https://www.ncbi.nlm.nih.gov/pubmed/20644282
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