不可切除性肺尖肿瘤放化疗后发生气颅
Pneumocephalus after the Treatment of an Inoperable Superior Sulcus Tumor with Chemoradiation.
作者信息
Albert Ashley, Allbright Robert, Nichols Todd, Farley Edward, Vijayakumar Srinivasan
机构信息
Department of Radiation Oncology, University of Mississippi Medical Center, Jackson, MS, USA.
Department of Radiology, University of Mississippi Medical Center, Jackson, MS, USA.
出版信息
Case Rep Oncol Med. 2017;2017:3016517. doi: 10.1155/2017/3016517. Epub 2017 Nov 26.
BACKGROUND
Pneumocephalus is a rare phenomenon that can occur as a complication after operations involving the thoracic discs, following thoracotomy for tumor resection, and after an intracranial operation or cranial trauma. This complication frequently occurs when a tumor is located in the costovertebral angle and an operative intervention creates a tear in the dura resulting in a pleural-dural fistula.
CASE PRESENTATION
We describe the case of a 58-year-old man with an inoperable superior sulcus tumor who developed pneumocephalus after the initiation of chemoradiation secondary to a pleural-dural fistula.
CONCLUSIONS
Although a rare occurrence, pneumocephalus should be considered when patients with tumors in the superior sulcus treated with radiation develop neurologic symptoms characteristic of increased intracranial pressure.
背景
气颅是一种罕见现象，可作为涉及胸椎椎间盘手术、肿瘤切除开胸术后、颅内手术或颅脑外伤后的并发症出现。当肿瘤位于肋椎角且手术干预导致硬脑膜撕裂形成胸膜 - 硬脑膜瘘时，这种并发症经常发生。
病例介绍
我们描述了一名58岁患有无法手术切除的肺尖肿瘤的男性患者，在放化疗引发胸膜 - 硬脑膜瘘后出现气颅的病例。
结论
尽管气颅罕见，但当对肺尖肿瘤患者进行放疗后出现颅内压升高的典型神经症状时，应考虑气颅的可能性。
Zotero 插件