Korean J Otorhinolaryngol-Head Neck Surg.  2016 Sep;59(9):684-687. 10.3342/kjorl-hns.2016.59.9.684.

A Case of Pneumorrhachis Associated with Spontaneous Pneumomediastinum and Subcutaneous Emphysema

Affiliations
  • 1Department of Otorhinolaryngology-Head and Neck Surgery, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea. enthns@hanmail.net

Abstract

Pneumorrhachis or epidural emphysema is an uncommon finding observed in the spinal epidural space. Pneumorrhachis could be occasionally associated with pneumomediastinum or pneumothorax or subcutaneous emphysema. Probably this results from air that leaks from the mediastinum, which traverses through the fascial planes and intervertebral neural foramina. In particular, without any causes, these conditions rarely appear simultaneously with trauma, surgery, malignancy, anesthesiological interventions, or Valsalva maneuvers. We report a case of pneumorrhachis accompanied by spontaneous pneumomediastinum and subcutaneous emphysema that was resolved after conservative treatment.

Keyword

Pneumomediastinum; Pneumorrhachis; Subcutaneous emphysema

MeSH Terms

Emphysema
Epidural Space
Mediastinal Emphysema*
Mediastinum
Pneumorrhachis*
Pneumothorax
Subcutaneous Emphysema*
Valsalva Maneuver
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