RESUMO
The occurrence of fistulous tract between the thoracic subarachnoid space and the pleural cavity due to injury is uncommon. The one was developed after traffic accident and treated by surgical repair of the fistula : The other was post-operative complication of costotransversectomy for T2 sympathectomy. The complication was realized by the surgeon who was aware of the small leakage of cerebrospinal fluid from the dura propria of the T2 nerve root at the time of surgery. Intermittent pleural punctures for drainage and semisitting position were followed by spontaneous closure of the fistula. These cases were reported so that the uncommon condition might be added to the differential diagnosis of pleural effusion.
Assuntos
Acidentes de Trânsito , Líquido Cefalorraquidiano , Diagnóstico Diferencial , Drenagem , Fístula , Cavidade Pleural , Derrame Pleural , Punções , Espaço Subaracnóideo , SimpatectomiaRESUMO
A case of huge craniopharyngioma which was removed radically is presented. A 14-year-old girl was hospitalized because of the impairment of vision and a history of generalized seizures. The computed tomogram of the brain disclosed the huge mass consisting of a large cystic part extending to the frontal base and solid part medial and posterior to the cystic. Despite of the large size and adhesion to the vital structures, the tumor was removed successfully. To remove the tumor radically, it seemed to be important not to interrupt the outer structure of the mass during dissection. The postoperative course was uneventful except transient diabetes insipidus. We report this case with brief review of the references.
