Esophageal-subarachnoid fistula: a case of spontaneous tension pneumocephalus in the setting of esophageal cancer | Canada Hyperbarics Skip to main content
Case Report Head Neck 2014

Esophageal-subarachnoid fistula: a case of spontaneous tension pneumocephalus in the setting of esophageal cancer

Patel M, Idicula W, Carrau R, Prevedello D — Head Neck, 2014

Tier 2, Indexed

Automatically imported from PubMed based on relevance criteria.

Summary

What Researchers Did

This case report describes a 68-year-old man who developed a severe headache and then became unresponsive due to air accumulating in his skull, caused by a rare connection between his esophagus and the space around his brain.

What They Found

Researchers found that a cervical esophageal carcinoma created an esophageal-subarachnoid fistula, allowing air to enter the skull after a retching episode, leading to tension pneumocephalus. This condition required immediate surgical air removal. The case highlights the importance of considering unusual causes for pneumocephalus when typical reasons are absent.

Canadian Relevance

No direct Canadian connection identified.

Study Limitations

As a case report, the findings from this single patient cannot be broadly applied to all individuals with similar conditions.

This plain-language summary is generated with AI assistance and checked against the source abstract before publication. See our editorial policy.

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Study Details

Study Type Case Report
Category Decompression Sickness
Source Pubmed
PubMed ID 24038386
Year Published 2014
Journal Head Neck
MeSH Terms Aged; Anti-Bacterial Agents; Carcinoma, Squamous Cell; Decompression, Surgical; Emergencies; Esophageal Fistula; Esophageal Neoplasms; Headache; Humans; Hyperbaric Oxygenation; Male; Neoplasm Staging; Pneumocephalus; Radiography; Subarachnoid Space; Treatment Outcome

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Disclaimer: This study summary is provided for informational and educational purposes only. It does not constitute medical advice. The information presented reflects the findings of the original research authors and may not represent the views of Canada Hyperbarics. Always consult a qualified healthcare professional before making treatment decisions.

Last reviewed: April 17, 2026 | Reviewed by: Canada Hyperbarics Editorial Team | Editorial process | Research sources | Counts & methodology