Traumatic subarachnoid-pleural fistulas are rare. We found 9 cases reported since 1959. Seven have been secondary to trauma and 2 following thoracotomy. One patient's death is thought to be directly related to the fistula. The diagnosis should be suspected in patients with a pleural effusion and associated vertebral trauma. The diagnosis can usually be confirmed with contrast or radioisotopic myelography. Successful closure of the fistula will usually occur spontaneously with closed tube drainage and antibiotics; occasionally, thoracotomy is necessary to close the rent in the dura.
|Original language||English (US)|
|Number of pages||3|
|Journal||Journal of Trauma|
|State||Published - Dec 1 1985|
ASJC Scopus subject areas
- Critical Care and Intensive Care Medicine