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Enfisema cervicomediastínico por ataque de pánico: reporte de un caso

Thomas P Clements¹, Antonia P Tse², Tom J Rourke²

¹Intensive Care Unit, Bristol Royal Infirmary, Bristol, GBR.

|February 2, 2026

Resumen

El enfisema cervicomediastínico (ECM) espontáneo puede ocurrir sin causa aparente, incluso después de un ataque de pánico. Esta rara condición resalta que los problemas respiratorios o gastrointestinales no son siempre un requisito previo para el ECM.

Palabras clave:

enfisema mediastínico trastornos de pánico enfisema retrofaríngeo enfisema subcutáneo enfisema del espacio tisular

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Área de la Ciencia:

Medicina
Neumología
Radiología

Sus antecedentes:

El enfisema cervical espontáneo es raro y se caracteriza por aire libre en los espacios profundos del cuello sin una causa clara.
El diagnóstico diferencial es amplio debido a la contigüidad del espacio visceral con el mediastino y el retroperitoneo.

Objetivo del estudio:

Presentar un caso inusual de enfisema cervicomediastínico (ECM) espontáneo en una mujer de 18 años después de un ataque de pánico.
Destacar el vínculo potencial entre el trastorno de pánico, la hiperventilación y el ECM.

Principales métodos:

Reporte de caso de una mujer de 18 años que se presenta con disnea, dolor torácico y enfisema subcutáneo.
Se utilizó tomografía computarizada (TC) de cuello y tórax para evaluar la extensión del enfisema.
Exclusión de otras causas potenciales como patología del tracto aerodigestivo y anomalías pulmonares.

Principales resultados:

La paciente experimentó ECM espontáneo después de un ataque de pánico, con síntomas que incluyeron disnea y dolor torácico.
Las tomografías computarizadas revelaron enfisema del espacio retrofaríngeo y visceral que se extendía hasta el mediastino.
No se identificaron otras anomalías, como bullas pulmonares o signos de patología del tracto aerodigestivo.

Conclusiones:

El enfisema cervical puede ocurrir espontáneamente como resultado del trastorno de pánico y la hiperventilación subsiguiente.
La patología respiratoria o gastrointestinal no es un requisito previo para el desarrollo de enfisema cervicomediastínico.
Este caso amplía la comprensión de los posibles desencadenantes del ECM espontáneo.