Pediatr. praxi. 2012;13(3):185-187

Pneumorrhachis

prof.MUDr.Zdeněk Doležel, CSc.1, MUDr.Zdeňka Ráčilová2, MUDr.Igor Jíra2, MUDr.Martina Jobová1, MUDr.Tereza Pinkasová1
1 Pediatrická klinika LF MU a FN Brno
2 Klinika dětské radiologie LF MU a FN Brno

Pneumorrhachis (PNR), the phenomenon of intraspinal air, is an exceptional imaging finding. PNR is primarily a radiographic and not

clinical diagnosis. Air within the spinal canal can be divided into primary and secondary PNR, descriptively classified into extra- or

intradural. Usually is PNR seen in association with other manifestation of air leak (for example pneumomediastinum, pneumothorax,

pneumoperitoneum). PNR usually represents an asymptomatic epiphenomenon and the intraspinal air reabsorbs spontaneously. We

report the case of an adolescent who developed PNR after spontaneous pneumomediastinum. The patient recovered uneventfully and

no underlying cause was found.

Keywords: pneumorrhachis, spontaneous pneumomediastinum, Valsalva maneuver, childhood

Published: June 18, 2012  Show citation

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Doležel Z, Ráčilová Z, Jíra I, Jobová M, Pinkasová T. Pneumorrhachis. Pediatr. praxi. 2012;13(3):185-187.
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    References

    1. Oertel MF, Korinth MC, Reinges, MHT, et al. Pathogenesis, diagnosis and management of pneumorrhachis. Eur Spine J 2006; 15: 636-643. Go to original source... Go to PubMed...
    2. Gibikote S, Wray A, Fink AM. Pneumorrhachis secondary to traumatic pneumomediastinum in a child. Pediatr Radiol 2006; 36: 711-713. Go to original source... Go to PubMed...
    3. Song Y, Tu L, Wu J. Pneumorrhachis with spontaneous pneumomediastinum and subcutaneous emphysema. Inter Med 2009; 48: 1713-1714. Go to original source... Go to PubMed...
    4. Prasad KM, Siddiqui AH. Pneumorrhachis, pneumomediastinum, pneumopericardium and subcutaneous emphysema as complication of bronchial asthma. Ann Thorac Med 2009; 4: 143-145. Go to original source... Go to PubMed...
    5. Drolet S, Gagne JP, Langis P. Spontaneous pneumorrhachis associated with pneumomediastinum in a patient with diabetic ketoacidosis: an exceptional manifestation of a benign disease. Can J Surg 2007; 50: 225-226.
    6. Atalar M, Dogan T, Cevit Ö, et al. Epidural pneumorrhachis accompanying to spontaneous pneumomediastinum in a boy: a rare association. Turkish Respiratory J 2007; 8: 60-62.
    7. Bernaerts A, Verniest T, Vanhoenacker F, et al. Pneumomediastinum and epidural pneumatosis after inhalation of, ,Ecstasy". Eur Radiol 2003; 13: 642-643. Go to original source... Go to PubMed...
    8. Derner M, Drugová B, Hořejší L, et al. Massive pneumorrhachis, pneumocephalus and pneumoopticus following thoracic trauma and avulsion of the brachial plexus: case report and review of the literature. Prague Medical Report 2011; 112: 56-66. Go to PubMed...
    9. Oertel MF, Korinth MC, Reinges, MHT, et al. Pneumorrhachis of the entire spinal canal. J Neurol Neurosurg Psychiatry 2005; 76: 1036. Go to original source... Go to PubMed...
    10. Mihál V, Michálková K, Wiedermann J, et al. Spontánní pneumomediastinum s podkožním emfyzémem. Pediatrie pro praxi 2005; 6: 206-208.
    11. Bullaro FM, Bartoletti SC. Spontaneous pneumomediastinum in children: a literature review. Pediatr Emerg Care 2007; 23: 28-30. Go to original source... Go to PubMed...

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