Spontaneous extradural pneumorrhachis causing cervical myelopathy.
Kyung-Jin Song1, Kwang-Bok Lee
1Department of Orthopedic Surgery, Chonbuk National University School of Medicine, Chonbuk National University Hospital, Jeonju, Korea.
Summary
Symptomatic pneumorrhachis (intraspinal air) can cause neurological deficits. A case of a 72-year-old man with spinal cord compression from intraspinal air successfully treated with surgery highlights the need for consideration of this rare condition.
Area of Science:
- Neurology
- Neurosurgery
- Radiology
Background:
- Pneumorrhachis, or intraspinal air, is typically asymptomatic and managed conservatively.
- Rarely, intraspinal air can cause significant symptoms including pain and neurological deficits.
Observation:
- A 72-year-old male presented with progressive lower extremity weakness.
- Radiographic review revealed a large amount of intraspinal air causing spinal cord compression.
Findings:
- Surgical decompression via C7 total laminectomy was performed.
- The patient experienced a full neurological recovery one month post-operatively.
Implications:
- This case underscores the importance of considering intraspinal air as a cause of neurological symptoms, even in non-traumatic cases.
- Prompt diagnosis and surgical intervention may be necessary for symptomatic pneumorrhachis causing spinal cord compression.
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