Abstract
Pneumorachis, the presence of free intraspinal air, is an exceptional radiological finding. We present a case that sustained injury following an assault and was diagnosed to have diffuse pneumocephalus, pneumorachis and extensive surgical emphysema of the head and neck region secondary to the fracture of the cribriform plate of ethmoid bone. To the best of our knowledge pneumorachis due to fracture of the cribriform plate of ethmoid bone has not been reported before, in the English language literature.
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Oertel MF, Korinth MC, Reinges MH, Krings T, Terbeck S, Gilsbach JM. Pathogenesis, diagnosis and management of pneumorrhachis. Eur Spine J 2006;15:S636–43.
Chaichana KL, Pradilla G, Witham TF, Gokaslan ZL, Bydon A. The clinical significance of pneumorachis: a case report and review of the literature. J Trauma 2010;68:736–44.
Gordon IJ, Hardman DR. The traumatic pneumomyelogram. A previously undescribed entity. Neuroradiology 1977;13:107–8.
Newbold RG, Wiener MD, Vogler JB 3rd, Martinez S. Traumatic pneumorrachis. AJR Am J Roentgenol 1987;148:615–6.
Yip L, Sweeny PJ, Mccarroll KA. The traumatic air myelogram. Am J Emerg Med 1990;8:332–4.
Sinha PA, Mantle M. Cervical pneumorrachis. Clin Radiol 2000;55:569–70.
Inamasu J, Nakamura Y, Saito R, Kuroshima Y, Ichikizaki K. Air in the spinal canal after skull base fracture. Am J Emerg Med 2002;20:64–5.
Cayli SR, Koçak A, Kutlu R, Tekiner A. Spinal pneumorrachis. Br J Neurosurg 2003;17:72–4.
Yousaf I, Flynn P, McConnell R. Symptomatic intraspinal pneumocoele resulting from closed head injury. Br J Neurosurg 2003;17:248–9.
Chibbaro S, Selem M, Tacconi L. Cervicothoracolumbar pneumorachis. Case report and review of the literature. Surg Neurol 2005;64:80–2.
Goh BK, Yeo AW. Traumatic pneumorrhachis. J Trauma 2005;58:875–9.
Markham JW. The clinical features of pneumocephalus based upon a survey of 284 cases with report of 11 additional cases. Acta Neurochir (Wien) 1967;16:1–78.
Dandy WE. Roentgenography of the brain after the injection of air into the spinal canal. Ann Surg 1919;70:397–403.
North JW. On the importance of intracranial air. Br J Surg 1971;58:826–9.
Day CJ, Nolan JP, Tarver D. Traumatic pnemomyelogram. Implications for the anaesthetist. Anaesthesia 1994;49:1061–3.
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Arora, S., Aggarwal, P., Cheema, G.S. et al. Pneumorachis of the cervical spine with associated pneumocephalus and subcutaneous emphysema. IJOO 45, 372–375 (2011). https://doi.org/10.4103/0019-5413.82346
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DOI: https://doi.org/10.4103/0019-5413.82346