Traumatic pneumorrhachis: 2 cases and review of the literature

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dc.contributor.authorKara, Hasan
dc.contributor.authorAkinci, Murat
dc.contributor.authorDegirmenci, Selim
dc.contributor.authorBayir, Aysegul
dc.contributor.authorAk, Ahmet
dc.date.accessioned2020-03-26T19:07:47Z
dc.date.available2020-03-26T19:07:47Z
dc.date.issued2015
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractThe presence of air in the spinal canal is known as pneumorrhachis (PNR), aerorachia, intraspinal pneumocele, pneumosaccus, pneumomyelogra, or intraspinal air. Pneumorrhachis may be iatrogenic, traumatic, and nontraumatic. We treated 2 patients who had posttraumatic PNR in the cervical spine region after stab injuries. Case 1 was a 31-year-old man who was stabbed in the C5 to C6 region. He had muscle weakness (3/5) and numbness on the right side of the body. Brain computed tomographic (CT) scan showed pneumocephalus, and cervical CT scan showed PNR at the C6 level. Treatment included observation, and symptoms and weakness improved within 7 days. Case 2 was a 40-year-old man who was stabbed in the C3 to C4 region. He hadmuscle weakness (1/5) and numbness on the left side of the body. Brain CT scan showed pneumocephalus, and cervical CT scan showed PNR at the C3 level. Cerebrospinal fluid drainage persisted, and he was treated with surgical repair of a dural laceration. Muscle strength improved. In summary, PNR is a rare condition that usually is treated nonoperatively. However, surgical treatment may be indicated for persistent neurologic symptoms or signs; the air detected in the spinal canal with radiographic imaging may be associated with an active cerebrospinal fluid leak and may cause spinal compression.en_US
dc.identifier.doi10.1016/j.ajem.2014.12.040en_US
dc.identifier.issn0735-6757en_US
dc.identifier.issn1532-8171en_US
dc.identifier.issue6en_US
dc.identifier.pmid25595271en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.urihttps://dx.doi.org/10.1016/j.ajem.2014.12.040
dc.identifier.urihttps://hdl.handle.net/20.500.12395/32710
dc.identifier.volume33en_US
dc.identifier.wosWOS:000356601400050en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherW B SAUNDERS CO-ELSEVIER INCen_US
dc.relation.ispartofAMERICAN JOURNAL OF EMERGENCY MEDICINEen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.titleTraumatic pneumorrhachis: 2 cases and review of the literatureen_US
dc.typeArticleen_US

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