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Pneumorrhachis following Chest Injury: A Rare Entity
Shivender Sobti1, S Bhaskar2, Rajesh K Sharma2
1Department of Neurosurgery, Christian Medical College and Hospital, Ludhiana, Punjab, India.
Asian Journal of Neurosurgery
|April 24, 2018
Summary
Pneumorrhachis, or intraspinal air, is a rare finding often linked to medical procedures or spinal conditions. This case explores pneumorrhachis development following chest trauma.
Area of Science:
- Radiology
- Neurosurgery
- Trauma Medicine
Background:
- Pneumorrhachis (PR) is the presence of intraspinal air, a rare radiological finding.
- Intraspinal air is commonly associated with epidural injections, spinal manipulations, synovial cysts, degenerative disc disease, and epidural abscesses.
- While often asymptomatic, PR can present with symptoms.
Observation:
- This report details a rare case of pneumorrhachis.
- The patient developed pneumorrhachis subsequent to chest trauma.
- The case provides an opportunity to examine the etiology of PR in a non-iatrogenic context.
Findings:
- Chest trauma can lead to the development of intraspinal air.
- The mechanism of air entry into the spinal canal following thoracic injury is explored.
- This finding expands the known causes of pneumorrhachis.
Implications:
- Understanding the mechanisms of PR post-trauma is crucial for accurate diagnosis.
- This case highlights the importance of considering trauma as a cause of intraspinal air.
- Further research may elucidate the specific pathways and risk factors for traumatic pneumorrhachis.
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