Karaoglan Alper, Cal Mehmet Alpay, Orki Alpay, Arpaozu Bekir Muhsin, Colak Ahmet
Maltepe University, Faculty of Medicine, Department of Neurosurgery, Istanbul, Turkey.
Turk Neurosurg. 2011;21(4):666-8.
Pneumorrhachis is defined as the presence of air in the epidural space or subarachnoid space. The air may migrate along fascial planes from the posterior mediastinum, through the neural foramina, and into the epidural space. Pneumorrhachis is rare, and even more so in the paediatric population. Pneumorrhachis in itself usually is asymptomatic, does not tend to migrate and reabsorbs spontaneously. The combination of pneumomediastinum with epidural pneumorrhachis without thoracic trauma has rarely been reported in the literature. The present case report describes the presence of pneumomediastinum, subcutaneous emphysema, and pneumorrhachis in a child asthmatic patient who had a history of fever, violent cough.
脊髓积气被定义为硬膜外间隙或蛛网膜下腔存在气体。气体可能沿着筋膜平面从后纵隔经神经孔迁移至硬膜外间隙。脊髓积气较为罕见，在儿科人群中更是如此。脊髓积气本身通常无症状，不会迁移且会自发吸收。纵隔气肿合并硬膜外脊髓积气且无胸部外伤的情况在文献中鲜有报道。本病例报告描述了一名有发热、剧烈咳嗽病史的哮喘患儿存在纵隔气肿、皮下气肿和脊髓积气的情况。
