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Spinal pneumorrhachis.

S R Cayli1, A Koçak, R Kutlu

  • 1School of Medicine, Department of Neurosurgery, Inönü University, Malatya, Turkey. srcayli@hotmail.com

British Journal of Neurosurgery
|June 5, 2003
PubMed
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Pneumorrhachis, or air in the spinal canal, is rare. This study presents two new cases, one with air in both cervical and lumbar subarachnoid spaces, highlighting this unusual condition.

Area of Science:

  • Neurology
  • Radiology
  • Neurosurgery

Background:

  • Pneumorrhachis, the presence of air within the spinal canal, is an uncommon condition with limited documented cases.
  • Understanding the etiology and presentation of pneumorrhachis is crucial for accurate diagnosis and management.

Observation:

  • This study details two distinct cases of pneumorrhachis.
  • The first case involved air within both the cervical and lumbar subarachnoid spaces.
  • The second case presented with air solely in the cervical subarachnoid space, secondary to traumatic pneumocephalus.

Findings:

  • The findings underscore the varied anatomical distribution of air in pneumorrhachis.
  • The association with traumatic pneumocephalus in one case suggests potential mechanisms for air migration into the spinal canal.

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  • These cases contribute to the limited literature on pneumorrhachis, offering insights into its radiological appearance.

    • Implications:

    • The presented cases expand the understanding of pneumorrhachis, particularly its occurrence in different spinal regions.
    • Further research into the underlying causes and clinical significance of pneumorrhachis is warranted.
    • Accurate identification of pneumorrhachis on imaging is essential for appropriate patient care and avoiding misdiagnosis.