CSF LEAK CAUSED MASSIVE PLEURAL EFFUSION AS A COMPLICATION OF OLD VERTEBRAL FIXATION SURGERY: A CASE REPORT

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MOHSEN SHAFIPOUR
ARDA KIANI
ATEFEH ABEDINI
MOHAMMAD SAMADIAN
MAJID GOLESTANI ERAGHI

Abstract

Objective and Importance: Cerebrospinal fluid (CSF) leakage-associated pleural effusion (PE) is a rare cause of excess plural fluid accumulation which almost is a consequence of migration of ventriculoperitoneal shunt or acute trauma of meningeal layers.


Clinical Presentation: We present a young man with recurrent exertional dyspnea and left sided pleural effusion and a history of L1 fixation surgery 4 years ago.


Intervention and Technique: Assessment of pleural fluid was positive for beta-2-transferrin and patient was referred to neurosurgery service with hypothesis of erosion of dura matter with prosthesis and devices used in vertebral fixation.


Conclusion: Erosion of dura matter with prosthesis and devices used in vertebral fixation caused massive pleural effusion after years.


 

Keywords:
Beta-2-transfferin, cerebrospinal fluid leak, pleural effusion

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How to Cite
SHAFIPOUR, M., KIANI, A., ABEDINI, A., SAMADIAN, M., & ERAGHI, M. (2017). CSF LEAK CAUSED MASSIVE PLEURAL EFFUSION AS A COMPLICATION OF OLD VERTEBRAL FIXATION SURGERY: A CASE REPORT. Journal of Case Reports in Medical Science, 2(4), 69-72. Retrieved from http://ikpress.org/index.php/JOCRIMS/article/view/611
Section
Case Report