Traumatic Spinal-Pleural Fistula

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Abstract
A COMMUNICATION between the spinal subarachnoid space and the chest cavity is not uncommon following missile injuries of the chest and thoracic spine. However, we have found no previous report of the demonstration of such a communication by myelography. An unusual case presented itself in which myelography was considered essential for proper management. The indications for lumbar puncture, cisternal myelography, and surgical exploration are given below. Report of Case A healthy 28-year-old Negro male was admitted to the Charity Hospital of Louisiana in New Orleans on Jan. 11, 1961, at 7 A.M., 1 hour after being shot in the right side of the chest with a 38-caliber pistol. He remembered falling immediately after injury, but lost consciousness a few minutes later. He was conscious on arrival in the accident room, and was able to climb onto an emergency cart without assistance. He was in shock, his blood pressure level was

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