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A Case of Ventral Spinal Cord Herniation from a Chronic Dural-pleural Fistula Resulting in Thoracic Myelopathy

Formation of a dural-pleural fistula is uncommon after anterior thoracic spine surgery, tumor, or trauma. The goal of surgical management is to terminate the connection between the pleura and subarachnoid space. We describe a case of chronic dural-pleural fistula in a 70-year-old woman and present a...

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Detalles Bibliográficos
Autores principales: Eli, Ilyas, Guan, Jian, Karsy, Michael, Mazur, Marcus D, Dailey, Andrew
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6903874/
https://www.ncbi.nlm.nih.gov/pubmed/31886061
http://dx.doi.org/10.7759/cureus.6123
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author Eli, Ilyas
Guan, Jian
Karsy, Michael
Mazur, Marcus D
Dailey, Andrew
author_facet Eli, Ilyas
Guan, Jian
Karsy, Michael
Mazur, Marcus D
Dailey, Andrew
author_sort Eli, Ilyas
collection PubMed
description Formation of a dural-pleural fistula is uncommon after anterior thoracic spine surgery, tumor, or trauma. The goal of surgical management is to terminate the connection between the pleura and subarachnoid space. We describe a case of chronic dural-pleural fistula in a 70-year-old woman and present a unique surgical treatment option. The patient presented 25 years after an anterior thoracic surgery she had undergone for a thoracic disc herniation, with a dural-pleural fistula and ventral herniation of the spinal cord into the defect. She was treated with a bovine pericardium sling patch to cover the defect. This case highlights the identification of a chronic thoracic dural-pleural fistula and surgical treatment with double intradural and extradural layering of bovine pericardium sling patch, which has not been described previously for chronic thoracic dural-pleural fistula.
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spelling pubmed-69038742019-12-29 A Case of Ventral Spinal Cord Herniation from a Chronic Dural-pleural Fistula Resulting in Thoracic Myelopathy Eli, Ilyas Guan, Jian Karsy, Michael Mazur, Marcus D Dailey, Andrew Cureus Neurosurgery Formation of a dural-pleural fistula is uncommon after anterior thoracic spine surgery, tumor, or trauma. The goal of surgical management is to terminate the connection between the pleura and subarachnoid space. We describe a case of chronic dural-pleural fistula in a 70-year-old woman and present a unique surgical treatment option. The patient presented 25 years after an anterior thoracic surgery she had undergone for a thoracic disc herniation, with a dural-pleural fistula and ventral herniation of the spinal cord into the defect. She was treated with a bovine pericardium sling patch to cover the defect. This case highlights the identification of a chronic thoracic dural-pleural fistula and surgical treatment with double intradural and extradural layering of bovine pericardium sling patch, which has not been described previously for chronic thoracic dural-pleural fistula. Cureus 2019-11-11 /pmc/articles/PMC6903874/ /pubmed/31886061 http://dx.doi.org/10.7759/cureus.6123 Text en Copyright © 2019, Eli et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Neurosurgery
Eli, Ilyas
Guan, Jian
Karsy, Michael
Mazur, Marcus D
Dailey, Andrew
A Case of Ventral Spinal Cord Herniation from a Chronic Dural-pleural Fistula Resulting in Thoracic Myelopathy
title A Case of Ventral Spinal Cord Herniation from a Chronic Dural-pleural Fistula Resulting in Thoracic Myelopathy
title_full A Case of Ventral Spinal Cord Herniation from a Chronic Dural-pleural Fistula Resulting in Thoracic Myelopathy
title_fullStr A Case of Ventral Spinal Cord Herniation from a Chronic Dural-pleural Fistula Resulting in Thoracic Myelopathy
title_full_unstemmed A Case of Ventral Spinal Cord Herniation from a Chronic Dural-pleural Fistula Resulting in Thoracic Myelopathy
title_short A Case of Ventral Spinal Cord Herniation from a Chronic Dural-pleural Fistula Resulting in Thoracic Myelopathy
title_sort case of ventral spinal cord herniation from a chronic dural-pleural fistula resulting in thoracic myelopathy
topic Neurosurgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6903874/
https://www.ncbi.nlm.nih.gov/pubmed/31886061
http://dx.doi.org/10.7759/cureus.6123
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