Traumatic pneumorrhachis

Pfeifle, Christian; Henkelmann, Ralf; Höh, Nicolas von der; Jarvers, Jan-Sven; Spiegl, Ulrich; Josten, Christoph; Heyde, Christoph-Eckhard

doi:10.1016/j.injury.2019.10.075

Cited by 13 publications

(11 citation statements)

References 10 publications

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“…PR is generally asymptomatic, but it can present with neurological deficits in the event of air compressing the spinal cord [1,[5][6]. While there are no evidence-based guidelines for the treatment of PR, various case reports have documented that PR can be managed conservatively depending on the etiology.…”

Section: Discussionmentioning

confidence: 99%

Pneumorrhachis After an Upper Respiratory Infection: A Case Report of a Rare Phenomenon

Llewellyn¹,

Johnson²,

Krueger³

et al. 2020

Cureus

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Pneumorrhachis (PR) is the presence of free air within the spinal canal. It is generally benign and improves with conservative management. Case reports and a literature review exist documenting the existence and potential pathogenesis of this phenomenon, but no evidencebased guidelines exist documenting what treatment, if any, is indicated for this condition. We present a case of a 21-year-old male who developed PR after a preceding upper respiratory tract infection. His symptoms improved with expectant management and administration of highflow oxygen. The purpose of this case report is to add to the scarce existing literature reporting this condition and to provide a short review of literature detailing the pathogenesis of PR.

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Section: Discussionmentioning

confidence: 99%

Pneumorrhachis After an Upper Respiratory Infection: A Case Report of a Rare Phenomenon

Llewellyn¹,

Johnson²,

Krueger³

et al. 2020

Cureus

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“…In 2019, Pfeifle et al 12 reported 8 patients of traumatic pneumorrhachis over the period of 12 years. 13 In 2020, Supit et al reported a patient with traumatic cervical pneumorrhachis after a history of penetrating neck injury. The patient had quadriparesis and CT cervical spine showed cervical intradural pneumorrhachis.…”

Section: Journalmentioning

confidence: 99%

“…More detailed radiological images can be required if positive data were revealed in the routine study. 3,9,13 Pneumorrhachis must be assessed according to the general condition and presentation of the patient taking into consideration the following causes that may mimic pneumorrhachis in radiological scans. These include vacuum disc phenomenon, degenerative gas collection,…”

Section: Journalmentioning

confidence: 99%

“…If a CSF leak occurs, the pressure will be decreased. 5,13 Most of the patients in the articles of pneumorrhachis were asymptomatic, while some case reports reported motor deficits and sensory deficits among those patients. 5 Pneumorrhachis is believed to be associated with increased mortality and morbidity as it is mostly associated with severe multiple trauma patients.…”

Section: Journalmentioning

confidence: 99%

“…10,16 If a tract (fistula) was found, surgical intervention is the choice. 13,16 Furthermore, multidisciplinary consultation with cardiothoracic, radiology, intensive care, and internal medicine physicians must take place. 4,16 If the general condition of the patient necessitated being under general anesthesia, some rules should be followed: avoiding inhalation of nitrous oxide and pressurization of the oro-and nasopharynx.…”

Section: Journalmentioning

confidence: 99%

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Traumatic Cervical Pneumorrhachis: A Case Report and Review of the Literature

Elsebaey

Attia

Abdelwanes

et al. 2020

Egyptian Spine Journal

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Spontaneous pneumorrhachis with pneumomediastinum, scrotal emphysema, and extensive subcutaneous emphysema in a patient with pneumonia: A case report and literature review

Zhuang

Zou

Huang

et al. 2023

Pediatric Pulmonology

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Background Spontaneous pneumorrhachis with pneumomediastinum, scrotal emphysema, and extensive subcutaneous emphysema caused by acute pneumonia are rarely observed in clinical practice. Case Presentation Herein, we report a case of a 12‐year‐old boy with spontaneous pneumorrhachis with pneumomediastinum, scrotal emphysema, and extensive subcutaneous emphysema caused by a severe cough due to mycoplasma pneumonia. This patient neither received invasive or noninvasive ventilator treatment nor surgical treatment before the onset of the disease. After treatment, the patient recovered smoothly and was discharged from the hospital. Literature Review We reviewed all cases of spontaneous pneumorrhachis in children and adolescents between 1988 and 2022 in the PubMed database. Twenty‐seven cases met our inclusion criteria, and the data on demographic information, triggers, comorbidities, symptoms, imaging findings, treatment, and prognosis were extracted and analyzed. Conclusion Although spontaneous pneumorrhachis is a rare condition, it has been reported in children. Computed tomography scanning is the gold standard for its detection. Spontaneous pneumorrhachis is typically a benign disease. This condition usually does not require any special treatment and should be monitored as common types of air leaks, such as pneumothorax and pneumomediastinum.

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Traumatic pneumorrhachis

Cited by 13 publications

References 10 publications

Pneumorrhachis After an Upper Respiratory Infection: A Case Report of a Rare Phenomenon

Pneumorrhachis After an Upper Respiratory Infection: A Case Report of a Rare Phenomenon

Traumatic Cervical Pneumorrhachis: A Case Report and Review of the Literature

Spontaneous pneumorrhachis with pneumomediastinum, scrotal emphysema, and extensive subcutaneous emphysema in a patient with pneumonia: A case report and literature review

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