an unusual cause of acute headache: subarachnoid free air secondary to spontaneous bronchopleurodurosubarachnoid fistula from a pancoast tumor
;Dmitriy N. Kazimirko, MD;Ellen E. Parker, MD;David A. Joyner, MD;Teddi H. Berry, MD;Charlotte S. Taylor, MD;Todd A. Nichols, MD;Majid A. Khan, MD
Thrombosis research2016Vol. 11pp. 238-241
137
md2016radiologyan
Abstract
Pneumocephalus and pneumorrhachis are related to transgression of the barriers to the central nervous system. We present a patient with a Pancoast tumor treated with palliative chemoradiation who developed symptomatic spinal and intracranial air caused by spontaneous bronchopleurodurosubarachnoid fistula secondary to direct tumor invasion into the thecal sac.