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- W81694015 abstract "To report a pediatric case of subarachnoid-pleural fistula, its diagnosis, and its treatment.Case report.Pediatric intensive care unit.A 9-month-old boy, presenting with severe pleural effusion after posterior chest wall surgery.Subarachnoid-pleural fistula was confirmed by isolating beta2-transferrin in the pleural fluid and with magnetic resonance cisternography revealing the location. The patient had a healthy outcome, and the fistula dried without surgery, using positive-pressure ventilation and a chest drain.We used beta2-transferrin to confirm the diagnosis of clinically suspected subarachnoid-pleural fistula. High-resolution computed tomographic and magnetic resonance cisternography are the best techniques to localize the fistula. The currently recommended treatment is surgery; we suggest that bilevel positive-pressure ventilation, especially with noninvasive techniques, could be a treatment alternative, reducing the flow of cerebral spinal fluid through the fistula and allowing spontaneous closure." @default.
- W81694015 created "2016-06-24" @default.
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- W81694015 date "2007-04-01" @default.
- W81694015 modified "2023-10-15" @default.
- W81694015 title "Subarachnoid-pleural fistula in an infant treated with mechanical positive-pressure ventilation" @default.
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- W81694015 doi "https://doi.org/10.1097/01.pcc.0000262800.57589.40" @default.
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