Extensive Pneumorrhachis Associated with Vaping-Induced Lung Injury

Ronald, Andrew A.; Defta, Dana; Wright, James; Rothstein, Brian

doi:10.1016/j.wneu.2020.05.176

Cited by 10 publications

(6 citation statements)

References 19 publications

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“…Furthermore, in scenarios of bronchospasm due to the inhalation of drugs or possibly in reactive airway disease, Muller's maneuver (voluntary inspiration with a closed mouth and obstructed nares) can induce barotrauma from the extreme negative intrathoracic pressure and predispose an individual to develop the above sequelae [17]. Our patient routinely vaped marijuana, a practice that has been shown to induce lung injury with subsequent PR [18]. However, our patient did not have the history or imaging findings to support vaping as the underlying etiology, and we believe his presentation was secondary to his intractable vomiting.…”

Section: Discussionmentioning

confidence: 94%

Air All in the Wrong Places: A Case of Pneumorrhachis Secondary to Chronic Vomiting

Rotsching¹,

Mathias²,

Gutierrez³

et al. 2023

Cureus

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Pneumorrhachis (PR) is a rare phenomenon in which air is present in the spinal canal. PR can be stratified into different categories based on etiology, with spontaneous PR being the least common. In this report, we describe the case of a 33-year-old male with a four-year history of emesis secondary to chronic gastroparesis who presented with pleuritic chest pain radiating to the neck. A CT scan of the chest showed pneumomediastinum, with air extending into the soft tissues of the neck and the spinal canal. A literature review found a trend between maneuvers that increase intrathoracic pressure, such as emesis or coughing, and the incidence of spontaneous pneumomediastinum, in which air may freely communicate with the epidural space of the spinal canal. Currently, there are no guidelines for the management of patients with PR. From our experience, conservative management of asymptomatic PR is an appropriate approach for these patients.

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Section: Discussionmentioning

confidence: 94%

Air All in the Wrong Places: A Case of Pneumorrhachis Secondary to Chronic Vomiting

Rotsching¹,

Mathias²,

Gutierrez³

et al. 2023

Cureus

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“…To date, there have been no guidelines for the management of pneumorrhachis. For patients with symptomatic neuralcompression, intravenous glucocorticoids, direct decompression via percutaneous needle aspiration, and high concentrations of inspired oxygen to promote air reabsorption may be considered; 26 however, these treatments are rarely used. During our review, we found that most treatments targeted the primary disease, and pneumorrhachis only needed to be monitored until the air was absorbed within hours to 1 week.…”

Section: Discussionmentioning

confidence: 99%

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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“…If there is severely symptomatic neural compression, treatment strategies include intravenous glucocorticoids, decompression by percutaneous needle aspiration, and high inspired oxygen to promote reabsorption of air [ 2 ]. Computed tomography provides reliable and prompt detection of suspected pneumorrhachis [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

“…Symptomatic pneumorrhachis with neurological deficits have been reported. The forceful coughing may lead to air leakage from ruptured alveoli into the mediastinal space [ 2 ]. Pneumorrhachis secondary to interstitial lung disease was reported by Sandhya et al, in 2011 [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Spontaneous pneumorrhachis, pneumomediastinum, pneumopericardium, and subcutaneous emphysema. Rare features of Hamman Syndrome

Dirie

Aydin

Hussein³

et al. 2022

Annals of Medicine &Amp; Surgery

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Extensive Pneumorrhachis Associated with Vaping-Induced Lung Injury

Cited by 10 publications

References 19 publications

Air All in the Wrong Places: A Case of Pneumorrhachis Secondary to Chronic Vomiting

Air All in the Wrong Places: A Case of Pneumorrhachis Secondary to Chronic Vomiting

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

Spontaneous pneumorrhachis, pneumomediastinum, pneumopericardium, and subcutaneous emphysema. Rare features of Hamman Syndrome

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