Epidural injection-related pneumorrhachis: A case report with cauda equina syndrome.

Autor: Khai NX; Radiology Center, 103 Military Hospital, Vietnam Military Medical University, Hanoi, Vietnam., Tien TD; Department of Pathology, 103 Military Hospital, Vietnam Military Medical University, Hanoi, Vietnam., Dung HT; Department of Neurology, 103 Military Hospital, Vietnam Military Medical University, Hanoi, Vietnam., Thuan ND; Department of Neurology, 103 Military Hospital, Vietnam Military Medical University, Hanoi, Vietnam., Thong NH; Department of Rheumatology, 103 Military Hospital, Vietnam Military Medical University, Hanoi, Vietnam., Dung NT; Respiratory Center, 103 Military Hospital, Vietnam Military Medical University, Hanoi, Vietnam., Dung NV; Department of Radiology, 108 Military Central Hospital, Hanoi, Vietnam., Phuong NV; Department of Infectious Disease, 103 Military Hospital, Vietnam Military Medical University, Hanoi, Vietnam., Minh NT; Radiology Center, 103 Military Hospital, Vietnam Military Medical University, Hanoi, Vietnam.
Jazyk: angličtina
Zdroj: Radiology case reports [Radiol Case Rep] 2024 Apr 30; Vol. 19 (7), pp. 2898-2903. Date of Electronic Publication: 2024 Apr 30 (Print Publication: 2024).
DOI: 10.1016/j.radcr.2024.03.085
Abstrakt: Pneumorrhachis (PR) is an uncommon condition characterized by the accumulation of air within the spinal canal. This finding may occur due to various causes, mostly after trauma and medical procedures. It can manifest with various features depending on the underlying cause, the location, and the extent of the air trapped. Clinically, the symptoms in affected patients can span a spectrum, ranging from being asymptomatic to manifesting as radiculopathies resulting from compression. The pneumorrhachis-related cauda equina syndrome is incredibly rare and typically appears as a large volume of air causing compression or irritation of the nerve roots in the lower spinal cord. In this report, we present a female patient whose cauda equina syndrome developed as a result of accidental extradural pneumorrhachis after epidural injection in the lumbar spine.
(© 2024 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
Databáze: MEDLINE