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Published on: November 4, 2010
Two cases of spontaneous epidural emphysema during asthmatic attack
Taro Hanada1, Akihiko Ishikuro, Yasushi Hasegawa
1Department of Respirology, Tenshi Hospital, N-12, E-3, Higashi-ku, Sapporo 065-8611, Japan. hanataro@m16.alpha-net.ne.jp
Abstract:
Two cases of spontaneous epidural emphysema that occurred during asthmatic attacks in a 13-year-old and a 15-year-old are reported here. Epidural emphysema was diagnosed in both cases by using computed tomography (CT), and in 1 case by using magnetic resonance imaging (MRI). Neither patient had neurological findings. Both patients were discharged with no respiratory difficulties. It is generally believed that a diagnosis of epidural emphysema can only be made on CT. In this report, MRI was used to make the diagnosis of subdural emphysema, and it demonstrated that the air was localized within the epidural fat.
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