Subarachnoid pneumorrhachis following blunt thoracic and spinal trauma

Overview

Abstract

Subarachnoid pneumorrhachis is an increasingly identified entity in the setting of trauma. We report a case of this finding incidentally and of a positive outcome with conservative management following multi-speciality opinion. Our case-series review identifies an increasing number of cases in the literature due to improvements in computerised tomography resolution and explores traumatic and non-traumatic precipitants, suspected mechanisms of introduction of air into the spinal canal and ventricular systems and support for non-interventional management in uncomplicated pneumorrhachis.

Ravi Mistry, Sarah Wongseelashote, Ross Freebairn

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June 2025, Volume 28 Number 3

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