Main Article Content
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.
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