{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T11:04:53Z","timestamp":1777892693234,"version":"3.51.4"},"reference-count":11,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2021,12,1]],"date-time":"2021-12-01T00:00:00Z","timestamp":1638316800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of the Royal College of Physicians of Edinburgh"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:p>We report a case of a 72-year-old woman who underwent transthoracic discectomy for a giant disc herniation at T9-T10 level causing significant cord compromise. Following removal of her non-suction chest drain, she was transferred to the acute spinal-orthogeriatric unit where she was under regular review by elderly care physicians as part of their spinal liaison role. Approximately four weeks after the operation, she started becoming dyspnoeic and her chest X-ray showed moderate left-sided pleural effusion which tested positive for (32-transferrin, a sensitive marker of cerebrospinal fluid, supporting a diagnosis of subarachnoid-pleural fistula. This is a very unusual cause of breathlessness in a postoperative patient.<\/jats:p>","DOI":"10.4997\/jrcpe.2021.408","type":"journal-article","created":{"date-parts":[[2021,12,12]],"date-time":"2021-12-12T12:52:37Z","timestamp":1639313557000},"page":"360-362","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Dyspnoea Due to Spinal Subarachnoid-Pleural Fistula"],"prefix":"10.1177","volume":"51","author":[{"given":"Rajesh","family":"Dwivedi","sequence":"first","affiliation":[{"name":"Consultant Physician and Geriatrician, Queen's Medical Centre, Nottingham University Hospital NHS Trust, Nottingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dritan","family":"Pasku","sequence":"additional","affiliation":[{"name":"Associate Spinal Consultant, Consultant Spinal Surgeon and Neurosurgeon, Centre for Spinal Studies and Surgery, Queen's Medical Centre, Nottingham University Hospital NHS Trust, Nottingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Magnum","family":"Tsegaye","sequence":"additional","affiliation":[{"name":"Associate Spinal Consultant, Consultant Spinal Surgeon and Neurosurgeon, Centre for Spinal Studies and Surgery, Queen's Medical Centre, Nottingham University Hospital NHS Trust, Nottingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,12,1]]},"reference":[{"key":"bibr1-jrcpe.2021.408","doi-asserted-by":"publisher","DOI":"10.1378\/chest.122.6.2252"},{"key":"bibr2-jrcpe.2021.408","doi-asserted-by":"publisher","DOI":"10.4103\/0028-3886.66086"},{"key":"bibr3-jrcpe.2021.408","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-014-3210-5"},{"key":"bibr4-jrcpe.2021.408","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.97.10010219"},{"key":"bibr5-jrcpe.2021.408","first-page":"168959","author":"Shamji MF","year":"2011","journal-title":"Int Sch Res Notices"},{"key":"bibr6-jrcpe.2021.408","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2017.04.022"},{"key":"bibr7-jrcpe.2021.408","doi-asserted-by":"publisher","DOI":"10.1179\/2295333714Y.0000000072"},{"key":"bibr8-jrcpe.2021.408","doi-asserted-by":"publisher","DOI":"10.3171\/foc.2000.9.4.13"},{"key":"bibr9-jrcpe.2021.408","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-005-1014-3"},{"key":"bibr10-jrcpe.2021.408","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-015-4137-1"},{"key":"bibr11-jrcpe.2021.408","doi-asserted-by":"publisher","DOI":"10.3171\/2013.1.SPINE12628"}],"container-title":["Journal of the Royal College of Physicians of Edinburgh"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.4997\/jrcpe.2021.408","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.4997\/jrcpe.2021.408","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T06:35:35Z","timestamp":1777617335000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.4997\/jrcpe.2021.408"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12]]},"references-count":11,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["10.4997\/jrcpe.2021.408"],"URL":"https:\/\/doi.org\/10.4997\/jrcpe.2021.408","relation":{},"ISSN":["1478-2715","2042-8189"],"issn-type":[{"value":"1478-2715","type":"print"},{"value":"2042-8189","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,12]]}}}