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  • Title: Subarachnoid pleural fistula due to penetrating trauma: case report and review of the literature.
    Author: Lloyd C, Sahn SA.
    Journal: Chest; 2002 Dec; 122(6):2252-6. PubMed ID: 12475874.
    Abstract:
    We describe a case of a 30-year-old man who developed a recurrent pleural effusion after sustaining a gunshot wound to the left side of his chest with subsequent complete paralysis at the T2 level. Subarachnoid-pleural fistulas have rarely been reported as complications of penetrating and blunt trauma, thoracic surgery, as well as spinal surgery. Concomitant injuries may overshadow or complicate the diagnosis of subarachnoid-pleural fistulas. The diagnosis should be considered in any patient with a pleural effusion that is associated with severe neurologic injury, as the fistula rarely heals without surgical intervention and may lead to CNS infection or pneumocephalus.
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