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Title: Traumatic subarachnoid-pleural fistula

Journal Article · · J. Trauma; (United States)
OSTI ID:6234486

Traumatic subarachnoid-pleural fistulas are rare. The authors found nine cases reported since 1959. Seven have been secondary to trauma and two 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.

Research Organization:
St. Louis Univ. Hospitals, MO
OSTI ID:
6234486
Journal Information:
J. Trauma; (United States), Vol. 11
Country of Publication:
United States
Language:
English