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Eur J Cardiothorac Surg 2003;24:171-173
© 2003 Elsevier Science NL

Case report

Tension pneumocephalus: an unusual complication after lung resection

Hairmyres Hospital, Eaglesham Road, East Kilbride, Glasgow G75 8RG, UK

Received 24 January 2003; received in revised form 22 March 2003; accepted 26 March 2003.

^* Corresponding author. Tel.: +44-01355-584654; fax: +44-01355-584473
e-mail: jilaihawi{at}doctors.org.uk

On day 5, after right upper lobectomy, the patient developed headache, confusion and right hemiparesis and there was clear fluid drainage from the chest tube. Computed tomography (CT) scan of the head showed gas in the ventricles and subarachnoid space. The fluid from the drain was positive for Beta-2 transferrin signifying cerebrospinal fluid (CSF) fistula. Patient recovered completely with conservative management.

Key Words: Lung cancer • Pneumocephalus • Subarachnoid–pleural fistula

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