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KMID : 1001920110500010064
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Journal of Korean Neurosurgical Society
2011 Volume.50 No. 1 p.64 ~ p.67
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A Case of Broncho-Paraspinal Fistula Induced by Metallic Devices: Delayed Complication of Thoracic Spinal Surgery
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Son Seung-Nam
Kang Dong-Ho
Choi Dae-Seub
Choi Nack-Cheon
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Abstract
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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.
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KEYWORD
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Giant cell tumor, Pneumocephalus, Pneumorrhachis, Spinal surgery
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