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Neurology India
Medknow Publications on behalf of the Neurological Society of India
ISSN: 0028-3886
EISSN: 1998-4022
Vol. 58, No. 3, 2010, pp. 466-467
Bioline Code: ni10118
Full paper language: English
Document type: Case Report
Document available free of charge

Neurology India, Vol. 58, No. 3, 2010, pp. 466-467

 en Spontaneous subarachnoid pleural fistula: A rare complication of lateral thoracic meningocele
Kumar, Vimal; Bundela, Yashpal Singh.; Gupta, Vikas; Dua, Sanjeev & Singh, Anil Kumar.


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.

CSF fistula, ruptured meningocele, spontaneous subarachnoid pleural fistula, subarachnoid pleural fistula

© Copyright 2010 Neurology India.
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