Iatrogenic post-surgical tension pneumosyrinx—a first reported case

Shyam S. Swarna; Josephine Jung; Steve Connor; Maurizio Belci; Gordon Grahovac

doi:10.1007/s00701-022-05286-8

Iatrogenic post-surgical tension pneumosyrinx—a first reported case

Shyam S. Swarna, Josephine Jung^*, Steve Connor, Maurizio Belci, Gordon Grahovac

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

Abstract

We describe the first ever-reported occurrence of a post-operative tension pneumosyrinx occurring after a resection of an intradural intramedullary spinal tumour in a 40-year-old patient. Post-operatively, he developed sudden onset paraplegia and imaging revealed a tension pneumosyrinx which was subsequently surgically decompressed. He made a gradual neurological recovery. This is an extremely rare complication with potentially long-lasting deleterious effects on patients’ neurological status if not recognized. We aim to bring this pathology to the attention of our neurosurgical colleagues and share our surgical approach and management to assist those who may encounter this pathology in the future.

Original language	English
Pages (from-to)	2351-2355
Number of pages	5
Journal	Acta Neurochirurgica
Volume	164
Issue number	9
DOIs	https://doi.org/10.1007/s00701-022-05286-8
Publication status	Published - Sept 2022

Keywords

Iatrogenic
Pneumorrhachis
Pneumosyrinx
Spinal cord tumour
Tension

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10.1007/s00701-022-05286-8

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title = "Iatrogenic post-surgical tension pneumosyrinx—a first reported case",

abstract = "We describe the first ever-reported occurrence of a post-operative tension pneumosyrinx occurring after a resection of an intradural intramedullary spinal tumour in a 40-year-old patient. Post-operatively, he developed sudden onset paraplegia and imaging revealed a tension pneumosyrinx which was subsequently surgically decompressed. He made a gradual neurological recovery. This is an extremely rare complication with potentially long-lasting deleterious effects on patients{\textquoteright} neurological status if not recognized. We aim to bring this pathology to the attention of our neurosurgical colleagues and share our surgical approach and management to assist those who may encounter this pathology in the future.",

keywords = "Iatrogenic, Pneumorrhachis, Pneumosyrinx, Spinal cord tumour, Tension",

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doi = "10.1007/s00701-022-05286-8",

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AU - Jung, Josephine

AU - Connor, Steve

AU - Belci, Maurizio

AU - Grahovac, Gordon

N1 - Funding Information: JJ is funded by a National Institute for Health Research (NIHR) Clinical Lectureship. The funder had no input into the study conception, design, analysis, or reporting. The views expressed are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care. Publisher Copyright: © 2022, The Author(s).

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N2 - We describe the first ever-reported occurrence of a post-operative tension pneumosyrinx occurring after a resection of an intradural intramedullary spinal tumour in a 40-year-old patient. Post-operatively, he developed sudden onset paraplegia and imaging revealed a tension pneumosyrinx which was subsequently surgically decompressed. He made a gradual neurological recovery. This is an extremely rare complication with potentially long-lasting deleterious effects on patients’ neurological status if not recognized. We aim to bring this pathology to the attention of our neurosurgical colleagues and share our surgical approach and management to assist those who may encounter this pathology in the future.

AB - We describe the first ever-reported occurrence of a post-operative tension pneumosyrinx occurring after a resection of an intradural intramedullary spinal tumour in a 40-year-old patient. Post-operatively, he developed sudden onset paraplegia and imaging revealed a tension pneumosyrinx which was subsequently surgically decompressed. He made a gradual neurological recovery. This is an extremely rare complication with potentially long-lasting deleterious effects on patients’ neurological status if not recognized. We aim to bring this pathology to the attention of our neurosurgical colleagues and share our surgical approach and management to assist those who may encounter this pathology in the future.

KW - Iatrogenic

KW - Pneumorrhachis

KW - Pneumosyrinx

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Iatrogenic post-surgical tension pneumosyrinx—a first reported case

Abstract

Keywords

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