Pneumocephalus after Pancoast's tumor surgery: To be or not to be conservative?

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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.

Original languageEnglish
Pages (from-to)385-387
Number of pages3
JournalJournal of Cardiovascular Surgery
Issue number3
Publication statusPublished - Jun 2007


  • Complications
  • Lung neoplasms
  • Pancoast's syndrome
  • Pneumonectomy
  • Postural drainage
  • Surgery

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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