Son Seungnam, Kang Dong-Ho, Choi Dae Seub, Choi Nack-Cheon
Department of Neurology, Gyeongsang National University School of Medicine, Jinju, Korea.
J Korean Neurosurg Soc. 2011 Jul;50(1):64-7. doi: 10.3340/jkns.2011.50.1.64. Epub 2011 Jul 31.
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.
我们报告一例45岁女性患者，患有自发性气颅并伴有胸椎椎管积气，这是一种非常罕见的病症，通常与外伤以及胸外科或脊柱手术相关。该患者约10年前曾接受手术治疗胸椎巨细胞瘤。手术期间，植入了一个金属装置，该装置破坏了支气管并导致支气管-椎旁瘘形成。这被怀疑是她气颅和椎管积气的病因。据我们所知，这是由金属装置引起的气颅伴椎管积气的极为罕见的病例，而且考虑到这些并发症出现的术后时间长度，也是异常的。
