Spontaneous cervicothoracolumbar pneumorrhachis, pneumomediastinum and pneumoperitoneum

Faisal Al-Mufarrej, Farid Gharagozloo, Barbara Tempesta, Marc Margolis

Research output: Contribution to journalArticle

11 Scopus citations

Abstract

Introduction: Pneumorrhachis, or epidural pneumatosis, is a rare entity that is usually traumatic or iatrogenic. Usually, the epidural emphysema is limited to a few vertebral spaces. Less commonly, it is secondary to mediastinal air that tracks into the epidural space. Mediastinal air is usually associated with subcutaneous emphysema, but rarely is it associated with pneumopericardium or pneumoperitoneum. The cause of pneumomediastinum is usually identifiable on history or radiology. Methods: Report of a case. Results: We report the extremely rare simultaneous occurrence of self-limiting cervicothoracolumbar pneumorrhachis, pneumomediastinum, cervical subcutaneous emphysema and pneumoperitoneum in a healthy 20-year-old gentleman in the absence of an identifiable cause. Conclusion: Extensive pneumorrhachis and pneumoperitoneum may simultaneously accompany pneumomediastinum and subcutaneous emphysema in the absence of an identifiable cause and still follow a benign clinical course. Please cite this paper as: Al-Mufarrej F, Gharagozloo F, Tempesta B and Margolis M. Spontaneous cervicothoracolumbar pneumorrhachis, pneumomediastinum and pneumoperitoneum.

Original languageEnglish (US)
Pages (from-to)239-243
Number of pages5
JournalClinical Respiratory Journal
Volume3
Issue number4
DOIs
StatePublished - Oct 1 2009

Keywords

  • Emphysema
  • Pneumomediastinum
  • Pneumoperitoneum
  • Pneumorrhachis

ASJC Scopus subject areas

  • Immunology and Allergy
  • Pulmonary and Respiratory Medicine
  • Genetics(clinical)

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