Epidural pneumorrhachis, a rare complication of asthma exacerbation

Bedolla-Pulido, Tonatiuh Ramsés; Bedolla-Barajas, Martín; González‐Mendoza, Tania; Sánchez-Uribe, Enndy Hollyver; Delgado-Figueroa, Netzahualpilli; León-García, Sandra

doi:10.1080/02770903.2018.1539101

Cited by 4 publications

(3 citation statements)

References 7 publications

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“… 20 Lumbosacral laminectomy with duraplasty was employed by Iacoangeli et al for management of pneumorachis secondary to transacral cerebrospinal fluid leak caused by adenocarcinoma of the colon. 21 C7 total laminectomy (Song et al), 82 otolaryngological exploration (Oertel et al), 77 Hartman’s procedure (Amit et al), spondylolisthesis correction surgery (Kumaran et al), left partial hemilaminectomy (Lee et al), and pelvic exenteration (Tafreshi et al) were some of the other procedures employed by authors for management of the inciting factor for the pneumorachis. 22–27 …”

Section: Resultsmentioning

confidence: 99%

“…Pneumorachis is almost always found in combination with air in other cavities such as pneumothorax, pneumomediastinum, or subcutaneous emphysema. 82 Ultrasound is gaining popularity as the imaging of choice in the emergency department for the fast and accurate detection of pneumomediastinum, but it is not useful for detecting pneumorachis. 83 , 84 Pneumorachis can be diagnosed on spinal X-ray.…”

Section: Discussionmentioning

confidence: 99%

“… Enterocutaneos fistula from left natal cleft None Pelvic exenteration No Discharged. 34 Lee et al( 23 ) 76/m Unknown Vacuum intervertebral disc None Left partial hemilaminectomy No Discharged 35 Kumaran et al( 24 ) 51/m None Grade 1 anterolisthesis of L5 over S1 None Spondylolisthesis correction surgery No Unknown 36 Amit et al( 25 ) 60/m Unknown Perforated sigmoid colon Pneumocephalus Hartmann’s procedure; broad-spectrum intrathecal antibiotics No Resolution of pneumocranium and pneumorachis 37 Al-Mufarrej et al( 88 ) 20/m None Unknown Pneumoperitoneum, pneumomediastinum, subcutaneous emphysema Self-limited No Resolved 38 Song et al( 82 ) 18/m None Unknown Pneumomediastinum, subcutaneous emphysema Dextromethorphan 45 mg daily No Discharged 39 Kim et al( 12 ) 64/m Unknown V...…”

Section: Introductionmentioning

confidence: 99%

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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: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Spontaneous Pneumorachis – A Case-Based Review

Venkataramanan¹,

George²,

Sahu³

2021

JAA

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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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