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

P. Scanagatta; F. Leo; G. Veronesi; P. Solli; R. Gasparri; D. Galetta; F. Petrella; A. Borri; Lorenzo Spaggiari

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

P. Scanagatta, F. Leo, G. Veronesi, P. Solli, R. Gasparri, D. Galetta, F. Petrella, A. Borri, Lorenzo Spaggiari

Research output: Contribution to journal › Article › peer-review

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.

Original language	English
Pages (from-to)	385-387
Number of pages	3
Journal	Journal of Cardiovascular Surgery
Volume	48
Issue number	3
Publication status	Published - Jun 2007

Keywords

Complications
Lung neoplasms
Pancoast's syndrome
Pneumonectomy
Postural drainage
Surgery

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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title = "Pneumocephalus after Pancoast's tumor surgery: To be or not to be conservative?",

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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T1 - Pneumocephalus after Pancoast's tumor surgery

T2 - To be or not to be conservative?

AU - Scanagatta, P.

AU - Leo, F.

AU - Veronesi, G.

AU - Solli, P.

AU - Gasparri, R.

AU - Galetta, D.

AU - Petrella, F.

AU - Borri, A.

AU - Spaggiari, Lorenzo

PY - 2007/6

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N2 - 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.

AB - 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.

KW - Complications

KW - Lung neoplasms

KW - Pancoast's syndrome

KW - Pneumonectomy

KW - Postural drainage

KW - Surgery

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

Abstract

Keywords

ASJC Scopus subject areas

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