Labadie E L, Hamilton R H, Lundell D C, Bjelland J C
Neurology. 1977 Oct;27(10):993-5. doi: 10.1212/wnl.27.10.993.
One month after having a right upper lobectomy to remove a squamous cell carcinoma, a 43-year-old man presented with a 4-day history of postural headache, worsened by standing and relieved by lying. Skull films showed prominent ventricular pneumocephalus. Iophendylate myelography was unrewarding, but isotope cisternography revealed a CSF fistula at the T4 level, extending into the thoracic cavity. Thoracoplastic removal of the first four ribs successfully prevented air passage and the patient had a rapid uneventful recovery.
一名43岁男性在接受右上叶切除术以切除鳞状细胞癌1个月后，出现了4天的体位性头痛病史，站立时加重，躺下时缓解。颅骨X线片显示脑室积气明显。碘苯酯脊髓造影未发现异常，但放射性核素脑池造影显示在T4水平存在脑脊液瘘，并延伸至胸腔。胸廓成形术切除前四根肋骨成功阻止了空气进入，患者迅速康复，过程顺利。
