Computed Tomography Findings in Traumatic Pneumorachis: A Case Report

Abstract

The phenomenon of air entering the spinal canal is rare and termed pneumorachis. Due to its rarity, the evaluation and management of pneumorachis have not been well understood. Here, the authors describe a case of pneumorachis associated with pneumothorax, pneumomediastinum, subcutaneous emphysema, and traumatic pulmonary injuries in a 21-year-old male patient following blunt chest trauma after a motor vehicle accident. The patient presented with chest pain and difficulty breathing immediately after the vehicle accident, along with a deformed left arm. A bedside Focused Assessment with Sonography in Trauma (FAST) scan was performed, followed by a non-contrast CT of the thorax, which revealed intraspinal air and multiple fractures. The patient recovered without any adverse outcomes with conservative management of the intraspinal air. Pneumorachis is usually secondary to trauma and typically follows a benign course with spontaneous resolution after conservative management. It is important to be aware of this condition to identify it early and prevent complications.

Keywords

• intraspinal air
• pneumothorax
• pneumomediastinum
• subcutaneous emphysema
• trauma