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Pneumocephalus and Pneumorrhachis Following Titanium Rib Implant: A Case Report and Literature Review.
Curr Med Imaging
January 2025
Consultant in Emergency Medicine, WIC Clinic, Primary Health Care Corporation, Doha, Qatar.
Introduction: Pneumocephalus and pneumorrhachis are rare postoperative complications, commonly occurring within a few days to months after spinal surgery. They are very rarely reported after thoracic surgeries. This case highlights a unique presentation in the emergency department involving headache and vomiting caused by late complications following thoracic surgery with a titanium rib implant.
View Article and Find Full Text PDFNarrative review of traumatic pneumorrhachis.
World J Crit Care Med
December 2023
Trauma Services, Auckland City Hospital, Auckland 1023, New Zealand.
Pneumorrhachis (PR) is defined as presence of free air in the spinal canal. Traumatic PR is very rare, and its exact incidence and pathogenesis is unknown. A comprehensive literature search was performed using the PubMed, Cochrane Library, Google Scholar and Scopus databases to identify articles relevant to traumatic PR published till January 2023.
View Article and Find Full Text PDFTraumatic pneumocephalus as a possible early sign of acute spinal cord injury: Case report.
N Am Spine Soc J
December 2023
Department of Neurosurgery, Saint Louis University, 1008 S. Spring Ave, 3rd Floor, Saint Louis, MO, United States.
Background: Traumatic pneumocephalus (TPC) following craniofacial injuries is common, but isolated TPC secondary to pneumorrhachis (PR) is the rare result of upward gas migration from the spinal canal. In the absence of craniofacial and grossly unstable spinal fractures, the etiology of TPC in polytrauma can be elusive and an underlying diagnosis of acute spinal cord injury (SCI) can be easily missed. We report the first polytrauma case where TPC was the most reliable early sign of SCI.
View Article and Find Full Text PDFDelayed tension pneumocephalus and pneumorrhacis after routine cervical spine surgery treated successfully without burr holes.
Ann R Coll Surg Engl
July 2024
Royal Devon and Exeter NHS Foundation Trust, UK.
Tension pneumocephalus (TP) after spinal surgery is very rare with only a few cases reported in the English literature. Most cases of TP occur rapidly after spinal surgery. Traditionally, TP is managed using burr holes to relieve intracranial pressure.
View Article and Find Full Text PDFPneumorrhachis and pneumocephalus resulting from pneumothorax: illustrative case.
J Neurosurg Case Lessons
May 2023
Departments of2Neurosurgery and.
Background: Pneumorrhachis and pneumocephalus are rare conditions in which air is found within the spinal canal and brain, respectively. It is mostly asymptomatic and can be located in the intradural or extradural space. Intradural pneumorrhachis should prompt clinicians to search and treat any underlying injury of the skull, chest, or spinal column.
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