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A 41-year-old female with a history of Chiari I decompression surgery was admitted with a complaint of paresthesia, neuropathic pain affecting all extremities, and gait difficulty. Cervical magnetic resonance imaging revealed a C2-7 syringomyelia, and a syringopleural shunt was placed. The patient improved both clinically and radiologically, but after four months of follow-up, she complained of pain near the thoracic incision and in the dermatome relevant to the intercostal nerve root. The wound was surgically explored, and reactive changes to the shunt catheter were found near the intercostal nerve root. The shunt was subsequently removed, and a syringoarachnoidal shunt was placed instead. The patient improved postoperatively and was discharged without any complications. In conclusion, careful consideration of the location and course of the intercostal nerves is essential when placing pleural shunt systems.<\/jats:p>","DOI":"10.5606\/agri.2026.59","type":"journal-article","created":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T09:41:02Z","timestamp":1785836462000},"page":"198-201","source":"Crossref","is-referenced-by-count":0,"title":["The first occurrence of chronic post-thoracotomy pain syndrome after syringopleural shunt: A case report"],"prefix":"10.5606","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7983-5056","authenticated-orcid":false,"given":"Bilal Bahad\u0131r","family":"Akbulut","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9406-4114","authenticated-orcid":false,"given":"Mustafa Serdar","family":"B\u00f6l\u00fck","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7982-8115","authenticated-orcid":false,"given":"Ta\u015fk\u0131n","family":"Yurtseven","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2306-0826","authenticated-orcid":false,"given":"Huseyin","family":"Biceroglu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3570","published-online":{"date-parts":[[2026,6,25]]},"reference":[{"key":"ref-1","doi-asserted-by":"crossref","unstructured":"Wildgaard K, Ringsted TK, Hansen HJ, Petersen RH, Kehlet H. Persistent postsurgical pain after video-assisted thoracic surgery--an observational study. Acta Anaesthesiol Scand 2016;60:650-8. doi: 10.1111\/aas.12681.","DOI":"10.1111\/aas.12681"},{"key":"ref-2","doi-asserted-by":"crossref","unstructured":"Bayman EO, Parekh KR, Keech J, Selte A, Brennan TJ. A prospective study of chronic pain after thoracic surgery. Anesthesiology 2017;126:938-51. doi: 10.1097\/ALN.0000000000001576.","DOI":"10.1097\/ALN.0000000000001576"},{"key":"ref-3","doi-asserted-by":"crossref","unstructured":"Arends S, B\u00f6hmer AB, Poels M, Schieren M, Koryllos A, Wappler F, et al. Post-thoracotomy pain syndrome: Seldom severe, often neuropathic, treated unspecific, and insufficient. Pain Rep 2020;5:e810. doi: 10.1097\/PR9.0000000000000810.","DOI":"10.1097\/PR9.0000000000000810"},{"key":"ref-4","doi-asserted-by":"crossref","unstructured":"Rogers ML, Duffy JP. Surgical aspects of chronic post-thoracotomy pain. 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J Neurol Sci 2021;428:117564. doi: 10.1016\/j.jns.2021.117564.","DOI":"10.1016\/j.jns.2021.117564"},{"key":"ref-11","doi-asserted-by":"crossref","unstructured":"Taub E, Lavyne MH. Thoracic complications of ventriculoperitoneal shunts: Case report and review of the literature. Neurosurgery 1994;34:181-3. doi: 10.1097\/00006123-199401000-00028.","DOI":"10.1227\/00006123-199401000-00028"},{"key":"ref-12","doi-asserted-by":"crossref","unstructured":"Megison DP, Benzel EC. Ventriculo-pleural shunting for adult hydrocephalus. Br J Neurosurg 1988;2:503-5. doi: 10.3109\/02688698809029605.","DOI":"10.3109\/02688698809029605"},{"key":"ref-13","doi-asserted-by":"crossref","unstructured":"Isik N, Elmaci I, Isik N, Cerci SA, Basaran R, Gura M, et al. Long-term results and complications of the syringopleural shunting for treatment of syringomyelia: A clinical study. 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