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THE JOURNAL OF CARDIOVASCULAR SURGERY
A Journal on Cardiac, Vascular and Thoracic Surgery
Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,632
ORIGINAL ARTICLES THORACIC SECTION
The Journal of Cardiovascular Surgery 2007 June;48(3):385-7
Pneumocephalus after Pancoast’s tumor surgery: to be or not to be conservative?
Scanagatta P.1, Leo F.1, Veronesi G.1, Solli P.1, Gasparri R.1, Galetta D.1, Petrella F. 1, Borri A.1 Spaggiari L. 1, 2
1 Thoracic Surgery Division European Institute of Oncology, Milan, Italy
2 School of Medicine University of Milan, Milan
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.