Research
Print page Print page
Switch language
The Capital Region of Denmark - a part of Copenhagen University Hospital
Published

Delayed Iatrogenic Intracranial Hypotension After Thoracotomy

Research output: Contribution to journalEditorialResearchpeer-review

  1. Acute Kidney Injury After Acute Repair of Type A Aortic Dissection

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Ten-Year Trends of Clinicopathologic Features and Surgical Treatment of Lung Cancer in China

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Intrathoracic Splenosis Without Clinical Evidence of Diaphragmatic Rupture

    Research output: Contribution to journalJournal articleResearchpeer-review

  4. Exploring Shared Mental Models of surgical teams in Video-Assisted Thoracoscopic Surgery lobectomy

    Research output: Contribution to journalJournal articleResearchpeer-review

  1. Pathologic Characteristics of Pregnancy-Related Meningiomas

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Somatostatin receptor-targeted radiopeptide therapy in treatment-refractory meningioma: Individual Patient Data Meta-analysis

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Surgical occlusion of middle meningeal artery in treatment of chronic subdural haematoma: anatomical and technical considerations

    Research output: Contribution to journalJournal articleResearchpeer-review

View graph of relations

We report a case of intracranial hypotension (IH) after thoracotomy. A 56-year-old woman presented 10 days after a left upper lobectomy with severe headache due to pneumocephalus and pneumorrhachis, which resolved on conservative treatment. Two months later, the patient was readmitted in an unconscious state with characteristics of IH and “sagging brain.” Subsequent magnetic resonance imaging revealed a fistula at the level of the left Th5 pedicle. The patient underwent operation with closure of the fistula and recovered without complications. The presence of pneumocephalus and pneumorrhachis after thoracotomy should raise the suspicion of a persistent subarachnoid-pleural fistula to prevent IH and “sagging brain.”

Original languageEnglish
JournalThe Annals of thoracic surgery
Volume110
Issue number1
Pages (from-to)e35-e37
ISSN0003-4975
DOIs
Publication statusPublished - Jul 2020

Bibliographical note

Copyright © 2020 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

ID: 58981333