Zusammenfassung
Ein Pneumatozephalus als Folge einer pleurospinalen Fistel bei Operationen an der Brustwirbelsäule (BWS), speziell bei einem Wirbelkörperersatz, ist eine Seltenheit. Wir präsentieren den Fall eines 66-jährigen Patienten, bei dem ein Wirbelkörperersatz über einen anterolateralen transthorakalen Zugangsweg vorgenommen wurde. Als Komplikation kam es 4 Wochen postoperativ zu einem Delir infolge eines Pneumatozephalus.
Abstract
A pneumocephalus caused by a subarachnoid pleural fistula following spinal surgery using an anterior approach is a rare complication, especially in vertebral body replacement. We report the case of a 66-year-old male suffering from metastatic prostatic cancer of the thoracic spine who underwent replacement of a vertebral body using a transthoracic approach. A pneumocephalus occurred 4 weeks postoperatively resulting in delirium.
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Schulz, N., Kolenda, H., Thiel, A. et al. Pleurospinale Fistel und konsekutiver Pneumatozephalus als Komplikation eines Wirbelkörperersatzes an der Brustwirbelsäule. Unfallchirurg 113, 951–956 (2010). https://doi.org/10.1007/s00113-010-1798-4
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DOI: https://doi.org/10.1007/s00113-010-1798-4