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Extensive extradural pneumorrhachis related to obstetric analgesia.
Rev Esp Anestesiol Reanim (Engl Ed)
June 2024
Servicio de Anestesiología y Reanimación, Hospital Virgen Macarena, Seville, Spain; Departamento de Cirugía, Facultad de Medicina, Universidad de Seville, Spain. Electronic address:
Iatrogenic extradural pneumorrhachis is a rare clinical entity, but anesthesiologists should be aware of this possibility when using the air technique for the identification of epidural space. Although in most published cases extradural pneumorrhachis is asymptomatic, relevant neurological consequences have been described, such as meningeal irritation, radicular pain, unilateral lower extremity weakness, cauda equina syndrome, paraplegia, and tetraplegia.We describe a very extensive extradural pneumorrachis (T9-S1), related to obstetric analgesia, in a patient with severe and atypical perineal pain after forceps-assisted delivery.
View Article and Find Full Text PDF[Spontaneous pneumomediastinum (Hamman's syndrome) with pneumorrhachis as a rare cause of acute chest pain in a young patient with acute asthma exacerbation].
Pneumologie
July 2023
Pneumologie, Klinikum Würzburg Mitte gGmbH Standort Missioklinik, Würzburg, Deutschland.
Pneumomediastinum, defined as abnormal presence of air in the mediastinum, is a rare cause of acute chest pain. The condition may occur spontaneously as well as a secondary consequence of trauma or medical interventions. The spontaneous pneumomediastinum (Hamman's syndrome) is associated with a good prognosis, even without intervention.
View Article and Find Full Text PDFPneumorrhachis Following Neck Penetrating Injury: A Case Report.
Cureus
November 2022
Emergency Medicine, Rashid Hospital Trauma Center, Dubai Health Authority (DHA), Dubai, ARE.
The development of air in the spinal canal is an uncommon and usually asymptomatic event. Also known as pneumorrhachis (PNR), the main information about this phenomenon is based on a few case reports published previously. It is highly difficult to identify this entity clinically, and in most publications, PNR was incidentally identified during image procedures, mainly computed tomography (CT) scans.
View Article and Find Full Text PDFPneumorrhachis as a consequence of chest trauma.
Rev Esp Anestesiol Reanim (Engl Ed)
April 2022
Departamento de Anestesiología, Reanimación y Terapeútica del Dolor, Consorcio Hospital General Universitario de Valencia, Valencia, Spain.
Rare Case of Spontaneous Pneumorrhachis in a Young Male with COVID-19.
Indian J Radiol Imaging
July 2021
Department of Radiology, Rajiv Gandhi Cancer Institute and Research Centre, Delhi, India.
Here we present a rare case of spontaneous pneumomediastinum complicated with pneumorrhachis (PR) in a young man who is a known case of carcinoma rectosigmoid region. Our young male was diagnosed with novel coronavirus disease 2019 (COVID-19) and remained asymptomatic for any respiratory complaints. Though an association of pneumomediastinum has been reported in COVID 19 patients, to the best of our knowledge, this is the first report of PR in a COVID-19 oncological case.
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