Direct Impact

Concepts for which they have direct influence:

pancoast tumor
spontaneous bronchopleurodurosubarachnoid fistula
acute headache
subarachnoid free air
palliative chemoradiation
central nervous
thecal sac

External impact

Concepts related to the work of other authors :

subarachnoid-pleural fistula
spinal fusion
invasive options
surgical repair
rare complication
pleural fluid
3-year girl

An unusual cause of acute headache: subarachnoid free air secondary to spontaneous bronchopleurodurosubarachnoid fistula from a Pancoast tumor


Pneumocephalus and pneumorrhachis are related to transgression of the barriers to the central nervous system. We present a patient with a Pancoast tumor treated with palliative chemoradiation who developed symptomatic spinal and intracranial air caused by spontaneous bronchopleurodurosubarachnoid fistula secondary to direct tumor invasion into the thecal sac.

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