Traumatic Cervical Pneumorrhachis: A case_report and Review of the Literature

Authors

Mohamed Elsebaey, Neurosurgery Department, Damanhour Medical National Institute (DMNI), Damanhour cityFollow
Ahmed Attia, Neurosurgery Department, Damanhour Medical National Institute (DMNI), Damanhour cityFollow
Wael abdelwanes, Neurosurgery Department, Damanhour Medical National Institute (DMNI), Damanhour cityFollow
yasser Elkhwalka, Neurosurgery, Damanhour Medical National Institute, Damanhour, EgyptFollow

Corresponding Author

Elsebaey, Mohamed

Subject Area

Trauma

Article Type

Case Report

Abstract

Background Data: Pneumorrhachis means the presence of air inside the spinal canal. It is considered one of the rare findings among trauma patients. Most patients with pneumorrhachis are diagnosed with one or more of the following diseases: pneumocephalus, pneumothorax, and pneumopericardium. Pneumorrhachis can be isolated in cases of penetrating spinal injuries or combined in cases of skull base fractures. Purpose: To report a traumatic cervical pneumorrhachis case. Study Design: A case_report. Patients and Methods: A 37-year-old male patient presenting with a disturbed level of consciousness and evidence of severe head injury. No history of any chronic illness. He had multiple abrasions on the forehead and bilateral raccoons’ eyes after a history of a road traffic accident. Computed tomography (CT) scans over the skull and spine revealed the presence of air in the skull (pneumocephalus) and the cervical spinal canal (pneumorrhachis). Results: The neurosurgical team reported one patient with pneumorrhachis. Endotracheal tube and multiple intravenous lines were inserted and further measures for stabilizing the hemodynamics were done. The patient was admitted into the Intensive Care Unit and treated conservatively with full recovery after 6 weeks of outpatient follow-up. Conclusion: Pneumorrhachis is a rare spinal condition affecting the cervical spine. It is considered as an important radiological sign as it indicates the severe traumatic insult. Conservative medical treatment is the main way of management. The prognosis is related to the general condition of the patient and associated insults. (2019ESJ205)

Keywords

Pneumorrhachis, Skull base trauma, Intraspinal air, Pneumocephalus

How to Cite This Article

Elsebaey, Mohamed; Attia, Ahmed; abdelwanes, Wael; and Elkhwalka, yasser (2020) "Traumatic Cervical Pneumorrhachis: A case_report and Review of the Literature," Advanced Spine Journal: Vol. 33 : Iss. 1 , Article 7.
Available at: https://doi.org/10.21608/esj.2020.28372.1130