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Labadie, E.L. et al.

Hypoliquorreic headache and pneumocephalus caused by thoraco-subarachnoid fistula.

One month after having a right upper lobectomy to remove a squamous cell carcinoma, a 43-year-old man presented with a 4-day history of postural headache, worsened by standing and relieved by lying. Skull films showed prominent ventricular pneumocephalus. Iophendylate myelography was unrewarding, but isotope cisternography revealed a CSF fistula at the T4 level, extending into the thoracic cavity. Thoracoplastic removal of the first four ribs successfully prevented air passage and the patient had a rapid uneventful recovery.[1]

References

Hypoliquorreic headache and pneumocephalus caused by thoraco-subarachnoid fistula. Labadie, E.L., Hamilton, R.H., Lundell, D.C., Bjelland, J.C. Neurology (1977) [Pubmed]

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