Spontaneous pneumorrhachis in bronchial asthma

Abstract

We report on an 18-year-old male with bronchial asthma who presented with swelling over the neck and upper chest after a mild episode of bronchospasm. Physical examination was suggestive of subcutaneous emphysema, which was subsequently confirmed on a radiograph. Computed tomography in addition revealed pneumomediastinum and air within the epidural space of the spinal canal. Although spontaneous pneumomediastinum and subcutaneous emphysema have been described in a variety of situations, including patients with asthma, spontaneous pneumorrhachis in asthmatics is a very rare entity.

Spontaneous pneumomediastinum and subcutaneous emphysema in asthma exacerbation: The Macklin effect

“…[17][18][19][20][21][22][23][24][25][26] It can also be associated with pneumopericardium producing tamponade pneumoperitoneum, and with pneumorrhachis. [27][28][29][30][31] However, it is usually self-limited, and rarely leads to serious complications. More often, the associated condition underlying SPM may be the cause of significant and potentially life-threatening complications.…”

Spontaneous pneumorrhachis and transverse myelitis complicating purulent meningitis

“…The CT scan remains the diagnostic tool of choice. [15] However, X-ray radiography is helpful for initial exploration allowing the early detection of pneumorrhachis. [16]…”

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

“…[1][2][3][4][5][6][7] There have been a few published case reports and case series of spontaneous pneumothorax/pneumomediastinum in air force pilots, during basic training which involved the Valsalva maneuver and sudden high-pressure decompression. In most instances the pilots were not fl ying but were on the ground.…”