Volume : IV, Issue : II, February - 2014

Pneumorrhachis: a Benign Association in Bronchial Asthma

Dr Amolkumar W Diwan, Dr Gauri P. Godbole, Dr Himanshu Pophale

Abstract :

Pneumorrhachis is defined as presence of air within spinal epidural space. It is also referred to as aerorachia, intraspinal pneumocele, pneumosaccus, pneumomyelogram or simply intraspinal air. It can be associated with a variety of etiologies like trauma, iatrogenic manipulations and in associated therapy of malignancy. There are only sporadic cases reported in the literature. Here, we report a case of a 17-year-old boy who is a known case of onchial asthma presented with Pneumorrhachis, Subcutaneous emphysema and Pneumomediastinum. The pathogenesis and etiology of Pneumorrhachis are varied and can sometimes be a diagnostic challenge. The imaging tool of choice as diagnostic procedure should include spinal CT. There are no facial barriers between the posterior mediastinum and the retropharyngeal and epidural spaces. Thus air can diffuse freely to the epidural space and produce Pneumorrhachis. It usually represents an asymptomatic phenomenon but can rarely be symptomatic.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr Amolkumar W Diwan, Dr Gauri P. Godbole, Dr Himanshu Pophale Pneumorrhachis: a Benign Association in Bronchial Asthma Indian Journal of Applied Research, Vol.IV, Issue. II

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