Unusual Cause of Cord Compression—A Pressing Issue for Neurosurgeons

Sahu, Kamal Kant; Sanamandra, Pruthvi; Jeyaraman, Preethi; Kumar, Ganesh; Prakash, Gaurav; Kumar, Narender; Malhotra, Pankaj

doi:10.1016/j.wneu.2015.04.061

Cited by 12 publications

(4 citation statements)

References 7 publications

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“…Pneumorachis is asymptomatic in most cases but can cause neurologic symptoms, including spinal cord compression in about 10% of patients. 74 , 75 As pneumorachis by itself rarely causes spinal cord compression, we should search for alternative explanations such as epidural hematomas, abscesses, herniation, etc, if neurological symptoms are present. 76–81 …”

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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“…Pneumorachis is asymptomatic in most cases but can cause neurologic symptoms, including spinal cord compression in about 10% of patients. 8 As pneumorachis by itself rarely causes spinal cord compression, we should search for alternative explanations such as epidural hematomas, abscesses, herniation etc. if neurological symptoms are present.…”

Section: Discussionmentioning

confidence: 99%

Traumatic air myelogram

Krishna,

Phaneendra,

Kola

2023

JMV

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We present the case of a 60-year-old male patient admitted to our intensive care unit after a high-velocity car accident. On-site clinical examination revealed normal consciousness with no focal deficits. Chest X–Ray was suggestive of right pneumothorax with pneumomediastinum and extensive subcutaneous emphysema. CT scan revealed right pneumothorax, pneumomediastinum, extensive subcutaneous emphysema and extradural pneumorachis. A right tube thoracostomy was done and the patient was placed on High flow nasal cannula at 40 lpm and 100% FiO2. There was a gradual resolution of pneumothorax and all the extra-alveolar air including pneumorachis by the 7th day. The patient was discharged in a clinically stable condition. Keywords: Pneumothorax, Pneumomediastinum, Pneumorachis

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“…Any collection or mass in the orbit and neck, paravertebral region and paraspinal space need emergent care to prevent neurological catastrophe. [7][8][9][10] Contributors KKS performed management, review and manuscript writing. NT did management, literature search and grammar edit.…”

Section: Customer Servicementioning

confidence: 99%