SUBARACHNOID-PLEURAL FISTULA AFTER RESECTION OF A PANCOAST TUMOR WITHHYPONATREMIA

Resection of superior sulcus neoplasms is associated with a number of complications resulting from the extensive nature of the resection and the necessity to sacrifice certain adjacent structures. One of the co mplications of resection is the development of subarachnoid-pleural fi stula, with the subsequent appearance of air in the cerebrospinal flui d circulation. We report a case in which a subarachnoid-pleural fistul a led to persistent pneumocephaly in a patient who exhibited postopera tive hyponatremia, confusion, and gait disturbance.