Stuntz J T, Shuman R M
J Neurosurg. 1977 Aug;47(2):286-9. doi: 10.3171/jns.1977.47.2.0286.
A case is presented in which the atrial tip of a ventriculoatrial shunt formed a fistulous connection with the bronchial tree in a child. This resulted in acute bronchopneumonia, pneumocephalus, and ventriculitis. Pneumocephalus was created by an artificial respirator forcing air along the shunt tract during treatment of bronchopneumonia. Sudden death was related to transtentorial herniation. The diagnosis of a cerebrobronchial fistula should be entertained in shunt patients with respiratory distress and radiographic pulmonary densities unresponsive to antibiotics.
本文报告一例儿童脑室-心房分流术的心房端与支气管树形成瘘管连接的病例。这导致了急性支气管肺炎、气颅和脑室炎。在支气管肺炎治疗期间，人工呼吸器迫使空气沿分流通道流动，从而造成了气颅。猝死与经天幕疝有关。对于有呼吸窘迫且肺部影像学密度对抗生素无反应的分流患者，应考虑诊断为脑-支气管瘘。
