Pneumorachis and pneumocephalus : Case report of a rare blunt chest trauma complication

© 2022 Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd..

INTRODUCTION: Pneumorachis, air in the spinal canal, is very rare and its association with pneumocephalus following blunt thoracic trauma remains exceptionally uncommon.

CASE PRESENTATION: We present the case of a 65-year-old patient, a pedestrian hit by a car driving at very high speed. The lesion assessment on admission showed a bilateral hemothorax of moderate abundance, a right pneumothorax of low abundance and a left pneumothorax of moderate abundance, subcutaneous cervico-dorsal emphysema, pneumocephalus and significant pneumorachis at the cervico-dorsal level without fracture of the base of the skull, sinuses or the spine.

DISCUSSION: We discuss the different etiologies of pneumorachis, the main hypotheses of the constitution of this air effusion and the principles of management.

CONCLUSION: Pneumorachis associated with pneumocephalus in a traumatic context without bone lesions is an extremely rare entity, its discovery should lead to further investigations to look for any spinal or basilar skull fracturethat could expose to an infectious risk or require a surgical procedure.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:74

Enthalten in:

Annals of medicine and surgery (2012) - 74(2022) vom: 20. Feb., Seite 103349

Sprache:

Englisch

Beteiligte Personen:

Laaribi, Ilyass [VerfasserIn]
El Mouhib, Amine [VerfasserIn]
Oulalit, Mohammed Amine [VerfasserIn]
El Rhalete, Abdelilah [VerfasserIn]
Bkiyar, Houssam [VerfasserIn]
Housni, Brahim [VerfasserIn]

Links:

Volltext

Themen:

Blunt chest trauma
Case Reports
Pneumocephalus
Pneumorachis
Pneumothorax

Anmerkungen:

Date Revised 02.05.2022

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.1016/j.amsu.2022.103349

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM337298114