Airlessness in Airspace. Simultaneous Occurrence of Spontaneous Pneumothorax with Pneumomediastinum and Pneumorrhachis: Report of a Case

Pangtey, Ghan Shyam; Das, Chandan Jyoti; Javan, N G

doi:10.1007/s00595-007-3556-y

Cited by 8 publications

(4 citation statements)

References 8 publications

(9 reference statements)

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“…Subcutaneous emphysema detected over the neck or precordium is an extremely sensitive and specific sign of SPM. 71 , 72 Hamman sign, a precordial crunching sound synchronous with systole, especially in the left lateral decubitus position, may be present in up to 18% of patients. 73 Findings such as hypotension, severe respiratory distress, unilaterally diminished breath sounds, and distended neck veins should raise the suspicion for more serious etiologies such as tension pneumomediastinum, pneumothorax, or esophageal perforation.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Pneumorachis – A Case-Based Review

Venkataramanan¹,

George²,

Sahu³

2021

JAA

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Pneumorachis is characterized by the presence of free air in the spinal canal. It is referred by different names in literature such as epidural emphysema, intraspinal air, intraspinal pneumoc(o)ele, spinal epidural and subarachnoid pneumatosis, spinal and epidural emphysema, aerorachia, pneumosaccus, air myelogram, etc. Pneumorachis can be broadly classified as traumatic, iatrogenic, or spontaneous. In this case-based review, we present a case of spontaneous pneumorachis secondary to asthma exacerbation. This is followed by a systematic review of all cases of spontaneous pneumorachis identified in PubMed. The aim of this review is to understand the pathophysiology, common causes and the management of spontaneous pneumorachis.

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Section: Discussionmentioning

confidence: 99%

Spontaneous Pneumorachis – A Case-Based Review

Venkataramanan¹,

George²,

Sahu³

2021

JAA

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“…Pneumorrachis had several definitions (pneumocele, pneumatosis, emphysema, aerorachia, pneumosaccus, air myelogram) before Gordon and Hardman (1977) describe the fixed term "pneumorrachis".1 About less than 80 case reports have been published worldwide, while many articles are not available online and not all were caused by traumatic pneumothorax (Table 1). 1,3,[7][8][9][10][11][12][13][14][15][16][17][18][19] Pneumorrachis can be classified into internal and external. The internal pneumorachis is defined as the finding of air in the intradural space (subdural or subarachnoid), while the external pneumorachis is defined as the finding of air in the extradural space (intraspinal and epidural).…”

Section: Discussionmentioning

confidence: 99%

Hemopneumothorax associated with pneumorrachis following blunt chest trauma

Mardhika¹,

Mahadewa²,

Aryanti³

2019

nsmc

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Pneumorrhacis is a condition marked by the presence of air in the spinal canal. We present a rare case of pneumorrachis of the cervical to thoracic canal associated with hemopneumothorax and flail chest with subcutaneous emphysema that recovered remarkably after shaft clipping surgery and chest tube insertion only. Pneumorrachis can resolve by itself with conservative management. A 45-year-old woman suffered from chest pain and shortness of breath after fell at the hotel swimming pool. Further examination revealed rhonchi on left lung auscultation and asymmetry respiratory pattern. Computed tomography of the chest proved the presence of multiple rib fractures 4-9 left side, hemopneumothorax, subcutaneous emphysema. Accidentally, the CT showed intraspinal gas representing pneumorrachis extending from C6-T3. No neurologic deficit was found. She was treated conservative by supplemental oxygen only, no further neurological deterioration was detected. Follow up examination was uneventful and the symptoms resolved completely. Pneumorrachis was mostly found accidentally with a variety of underlying diseases, especially in the case of traumatic pneumothorax and fracture of the skull base. Pneumorrachis was managed conservatively and should be taken in attention in the presence of neurologic deficits.

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“…The coexistence of TPC and PR during secondary trauma survey has been previously reported in the setting of penetrating or blunt thoracic trauma resulting in complex skull base fractures and simultaneous spinal fractures [5 , [16] , [17] – 18] . Similarly, various studies have hypothesized that PR may occur due to subcutaneous emphysema, pneumomediastinum, or pneumothorax with secondary air migration into the spinal canal [5 , [19] , [20] , [21] , [22] , [23] – 24] . To our knowledge, this is the first reported case of TPC with PR caused by blunt chest trauma and no evidence of skull fractures on imaging, or a clear pathway for air migration from the mediastinum into the spinal canal.…”

Section: Introductionmentioning

confidence: 99%