• Spine J · Feb 2009

    Case Reports

    Spontaneous extradural pneumorrhachis causing cervical myelopathy.

    • Kyung-Jin Song and Kwang-Bok Lee.
    • Department of Orthopedic Surgery, Chonbuk National University School of Medicine, Chonbuk National University Hospital, Jeonju, Korea.
    • Spine J. 2009 Feb 1;9(2):e16-8.

    BackgroundPneumorrhachis (intraspinal air) is usually asymptomatic. Therefore, most patients with pneumorrhachis usually are managed conservatively. Rarely, pneumorrhachis is symptomatic and associated with discomfort, pain, and neurological deficits.PurposeTo present a 72-year-old man who presented with progressive weakness of the lower extremities with a large amount of intraspinal air that compressed the spinal cord.Study DesignA case reportMethodsReview of the medical record and radiographs.ResultsA C7 total laminectomy was performed, and the patient fully recovered 1 month after surgery.ConclusionThe possibility that neurological symptoms could be caused by non-traumatic intraspinal air should be considered.

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