CSF LEAK CAUSED MASSIVE PLEURAL EFFUSION AS A COMPLICATION OF OLD VERTEBRAL FIXATION SURGERY: A CASE REPORT
MOHSEN SHAFIPOUR
Department of Internal Medicine, Chronic Respiratory Diseases Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
ARDA KIANI
Department of Internal Medicine, Chronic Respiratory Diseases Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
ATEFEH ABEDINI
Department of Internal Medicine, Chronic Respiratory Diseases Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
MOHAMMAD SAMADIAN
Department of Neurosurgery, Loghman-Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
MAJID GOLESTANI ERAGHI *
Department of Anesthesiology and Critical Care, Tracheal Diseases Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
*Author to whom correspondence should be addressed.
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