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  • Title: Pneumocephalus after Pancoast's tumor surgery: to be or not to be conservative?
    Author: Scanagatta P, Leo F, Veronesi G, Solli P, Gasparri R, Galetta D, Petrella F, Borri A, Spaggiari L.
    Journal: J Cardiovasc Surg (Torino); 2007 Jun; 48(3):385-7. PubMed ID: 17505445.
    Abstract:
    We report a case of a 62-year-old man affected by Pancoast's tumor who developed pneumocephalus 17 days after right upper lobectomy with en bloc resection of the first three ribs and C8-D1 branches of the brachial plexus. The patient complained of aphasia, disorientation and sphincterial release. A chest and brain-CT scan showed a right apical pneumothorax associated with a massive pneumocephalus of the ventricles and of the subarachnoidal spaces. A pneumoperitoneum was also seen. The patient was treated using pleural drainages, Trendelenburg's position and antibiotic therapy. Clinical and radiological remission was achieved after 12 days of additional hospital stay.
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