A Case of Broncho-Paraspinal Fistula Induced by Metallic Devices: Delayed Complication of Thoracic Spinal Surgery. |
Seungnam Son, Dong Ho Kang, Dae Seub Choi, Nack Cheon Choi |
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. |
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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. |
Key Words:
Giant cell tumor; Pneumocephalus; Pneumorrhachis; Spinal surgery |
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