{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T11:29:17Z","timestamp":1761823757713},"reference-count":24,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["PED"],"published-print":{"date-parts":[[2016,1]]},"abstract":"<jats:p>Subarachnoid-pleural fistulas (SPFs) are rare clinical entities that occur after severe thoracic trauma or iatrogenic injury during anterolateral approaches to the spine. Treatment of these fistulas often entails open repair of the dural defect. The authors present the case of an SPF in a 2-year-old female after a penetrating injury to the chest. The diagnosis of an SPF was suspected given the high chest tube output and was confirmed with a positive \u03b22-transferrin test of the chest tube fluid, as well as visualization of dural defects on MRI. The dural defects were successfully repaired with CT-guided percutaneous epidural injection of fibrin glue alone. This case represents the youngest pediatric patient with a traumatic SPF to be treated percutaneously. This technique can be safely used in pediatric patients, offers several advantages over open surgical repair, and could be considered as an alternative first-line therapy for the obliteration of SPFs.<\/jats:p>","DOI":"10.3171\/2015.5.peds15194","type":"journal-article","created":{"date-parts":[[2015,10,2]],"date-time":"2015-10-02T13:59:42Z","timestamp":1443794382000},"page":"13-18","source":"Crossref","is-referenced-by-count":7,"title":["Repair of a traumatic subarachnoid-pleural fistula with the percutaneous injection of fibrin glue in a 2-year-old"],"prefix":"10.3171","volume":"17","author":[{"given":"Jason K.","family":"Chu","sequence":"first","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brandon A.","family":"Miller","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael P.","family":"Bazylewicz","sequence":"additional","affiliation":[{"name":"Radiology, Emory University School of Medicine, Atlanta; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John F.","family":"Holbrook","sequence":"additional","affiliation":[{"name":"Radiology, Emory University School of Medicine, Atlanta; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joshua J.","family":"Chern","sequence":"additional","affiliation":[{"name":"Pediatric Neurosurgery Associates, Children\u2019s Healthcare of Atlanta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1-peds15194","series-title":"Interv Neuroradiol","doi-asserted-by":"publisher","first-page":"121","DOI":"10.1177\/159101991301900118","article-title":"Targeted CT-guided epidural blood patch for treatment of spontaneous intracranial hypotension due to calcified intradural thoracic disc herniation","volume":"19","author":"Agarwal","year":"2013"},{"key":"b2-peds15194","series-title":"Br J Radiol","doi-asserted-by":"publisher","first-page":"225","DOI":"10.1259\/bjr\/56838652","article-title":"The contribution of 3D-CISS and contrast-enhanced MR cisternography in detecting cerebrospinal fluid leak in patients with rhinorrhoea","volume":"83","author":"Algin","year":"2010"},{"key":"b3-peds15194","series-title":"Paediatr Anaesth","doi-asserted-by":"publisher","first-page":"541","DOI":"10.1111\/pan.12330","article-title":"Unusual presentation of postdural puncture headache requiring repeat epidural blood patch in a 4-year-old child","volume":"24","author":"Borges","year":"2014"},{"key":"b4-peds15194","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"976","DOI":"10.3171\/2014.6.JNS13714","article-title":"Novel hydrogel application in minimally invasive surgical approaches to spontaneous intracranial hypotension. Report of 2 cases","volume":"121","author":"Chai","year":"2014"},{"key":"b5-peds15194","series-title":"J Clin Anesth","doi-asserted-by":"publisher","first-page":"331","DOI":"10.1016\/j.jclinane.2012.11.012","article-title":"Successful management of a thoracic cerebrospinal fluid cutaneous fistula in a two year old child using a thoracic epidural blood patch","volume":"25","author":"Franklin","year":"2013"},{"key":"b6-peds15194","series-title":"Neurology","doi-asserted-by":"publisher","first-page":"1818","DOI":"10.1212\/01.WNL.0000162029.96759.D2","article-title":"Spontaneous CSF leak treated with percutaneous CT-guided fibrin glue","volume":"64","author":"Gladstone","year":"2005"},{"key":"b7-peds15194","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"1809","DOI":"10.1097\/00007632-200108150-00018","article-title":"Subarachnoid-pleural fistulae\u2014management with a transdiaphragmatic pedicled greater omental flap: report of two cases","volume":"26","author":"Heller","year":"2001"},{"issue":"4 Suppl Spine","key":"b8-peds15194","series-title":"J Neurosurg","first-page":"332","article-title":"Subarachnoid-pleural fistula after resection of thoracic tumors","volume":"100","author":"Hentschel","year":"2004"},{"key":"b9-peds15194","series-title":"Pediatr Int","doi-asserted-by":"publisher","first-page":"929","DOI":"10.1111\/j.1442-200X.2012.03600.x","article-title":"Subarachnoid-pleural fistula in a child: the cause and treatment","volume":"54","author":"Karabayir","year":"2012"},{"key":"b10-peds15194","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"E347","DOI":"10.1097\/BRS.0b013e3181d83538","article-title":"Video-assisted thorascopic repair of a subarachnoid-pleural fistula in a child after thoracic tumor resection: technical note","volume":"35","author":"Kitagawa","year":"2010"},{"key":"b11-peds15194","series-title":"J Neurosurg Spine","doi-asserted-by":"publisher","first-page":"378","DOI":"10.3171\/2013.1.SPINE12628","article-title":"Percutaneous treatment of subarachnoid-pleural fistula with Onyx","volume":"18","author":"Knafo","year":"2013"},{"key":"b12-peds15194","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"E908","DOI":"10.1097\/BRS.0b013e3181dc57c1","article-title":"Subarachnoid-pleural fistula treated with noninvasive positive pressure ventilation: a two-case report and literature review","volume":"35","author":"Kurata","year":"2010"},{"key":"b13-peds15194","series-title":"J Trauma","first-page":"1155","article-title":"Traumatic subarachnoid pleural fistula","volume":"65","author":"Liang","year":"2008"},{"key":"b14-peds15194","series-title":"J Neurosurg Spine","doi-asserted-by":"publisher","first-page":"805","DOI":"10.3171\/2014.7.SPINE13965","article-title":"Computed tomography-guided epidural patching of postoperative cerebrospinal fluid leaks","volume":"21","author":"Mihlon","year":"2014"},{"key":"b15-peds15194","series-title":"J Am Med Assoc","doi-asserted-by":"publisher","first-page":"1467","DOI":"10.1001\/jama.1959.73000300001012","article-title":"Persistent subarachnoid-pleural space fistula; report of a case","volume":"169","author":"Milloy","year":"1959"},{"key":"b16-peds15194","series-title":"AJR Am J Roentgenol","doi-asserted-by":"publisher","first-page":"443","DOI":"10.2214\/ajr.175.2.1750443","article-title":"CT-guided percutaneous fibrin glue therapy of cerebrospinal fluid leaks in the spine after surgery","volume":"175","author":"Patel","year":"2000"},{"key":"b17-peds15194","series-title":"AJNR Am J Neuroradiol","first-page":"495","article-title":"Postoperative cerebrospinal fluid leaks of the lumbosacral spine: management with percutaneous fibrin glue","volume":"17","author":"Patel","year":"1996"},{"key":"b18-peds15194","series-title":"Spine J","doi-asserted-by":"publisher","first-page":"336","DOI":"10.1016\/j.spinee.2004.09.009","article-title":"Intracranial hypotension and recurrent pleural effusion after snow-boarding injury: a manifestation of cerebrospinal fluid-pleural fistula","volume":"5","author":"Patel","year":"2005"},{"key":"b19-peds15194","series-title":"Spine J","doi-asserted-by":"publisher","first-page":"e25","DOI":"10.1016\/j.spinee.2008.07.002","article-title":"Treatment of a persistent iatrogenic cerebrospinal fluid-pleural fistula with a cadaveric dural-pleural graft","volume":"9","author":"Raffa","year":"2009"},{"key":"b20-peds15194","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"E683","DOI":"10.1097\/BRS.0b013e31824a3f73","article-title":"Treatment of a thoracic dural-pleural fistula with a vascularized omental flap: a case report","volume":"37","author":"Sahota","year":"2012"},{"key":"b21-peds15194","series-title":"J Pediatr","doi-asserted-by":"publisher","first-page":"504","DOI":"10.1016\/j.jpeds.2013.01.055","article-title":"Spontaneous intracranial hypotension in childhood and adolescence","volume":"163","author":"Schievink","year":"2013"},{"key":"b22-peds15194","series-title":"J Neurosurg Spine","doi-asserted-by":"publisher","first-page":"433","DOI":"10.3171\/2011.5.SPINE10890","article-title":"Chronic cerebellar hemorrhage in spontaneous intracranial hypotension: association with ventral spinal cerebrospinal fluid leaks: clinical article","volume":"15","author":"Schievink","year":"2011"},{"key":"b23-peds15194","series-title":"J Otolaryngol","first-page":"341","article-title":"Beta-2 transferrin assay in clinical management of cerebral spinal fluid and perilymphatic fluid leaks","volume":"22","author":"Skedros","year":"1993"},{"key":"b24-peds15194","series-title":"Pediatr Crit Care Med","first-page":"386","article-title":"Subarachnoid-pleural fistula in an infant treated with mechanical positive-pressure ventilation","volume":"8","author":"Valla","year":"2007"}],"container-title":["Journal of Neurosurgery: Pediatrics"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-pediatr\/17\/1\/article-p13.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-pediatr\/17\/1\/article-p13.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-pediatr\/17\/1\/article-p13.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,15]],"date-time":"2023-04-15T13:17:20Z","timestamp":1681564640000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-pediatr\/17\/1\/article-p13.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,1]]},"references-count":24,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.3171\/2015.5.peds15194","relation":{},"ISSN":["1933-0707","1933-0715"],"issn-type":[{"value":"1933-0707","type":"print"},{"value":"1933-0715","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,1]]}}}