Travmatik pnömoraşi: olgu sunumu

Öz

Spinal kanal içerisinde hava bulunması olarak tanımlanan pnömoraşi nadir görülen bir klinik durumdur. Bu yazıda yüksekten düşen majör kafa travması olan ve pnömoraşi tespit edilen bir hasta sunmayı amaçladık. 52 yaşında erkek hasta 3 metre yüksekte üzüm toplarken merdivenden düşme nedeniyle ambulans ile acil servisimize getirildi. Hastada subaraknoidal kanama, subdural kanama, pnömosefali ve frontal, temporal ve paryetal kemikte kırık vardı. Servikal spinal kanalda hava dansiteleri tespit edildi. Travmatik pnömoraşi eşlik eden ciddi yaralanması bir göstergesi olması açısından önemlidir.

Anahtar Kelimeler

• Pnömoraşi
• Kafatası kırığı
• intraspinal hava

Traumatic Pneumorrhachis: A Case Report

Öz

Pneumorrhachis, defined as the presence of air in the spinal canal, is a rare clinical condition. In this article, we aimed to present a patient with significant head trauma who fell from a height and was diagnosed with pneumorrhachis. A 52-year-old male patient was brought to our emergency department by ambulance due to falling from the stairs while picking grapes at a height of 3 meters. The patient had a subarachnoidal hemorrhage, subdural hemorrhage, pneumocephalus, and fractures in the frontal, temporal, and parietal bones. Air densities were detected in the cervical spinal canal. Traumatic pneumorrhachis is essential as an indicator of accompanying severe injury.

Anahtar Kelimeler

• Pneumorrhachis
• Intraspinal air
• Skull fracture

Kaynakça

1. Gordon IJ, Hardman DR. The traumatic pneumomyelogram. A previously undescribed entity. Neuroradiology. 1977;13(2):107–108.
2. Valiyakath D, Al Busaidi T, Al Shamsi S, Al Sawafi Y. Pneumorrhachis with spontaneous pneumomediastinum: Should It Raise Special Concerns? Oman Med J. 2018;33(3):256–259.
3. Oertel MF, Korinth MC, Reinges MHT, Krings T, Terbeck S, Gilsbach JM. Pathogenesis, diagnosis and management of pneumorrhachis. Eur Spine J. 2006;15(5):636-643.
4. Akay S, Bayram B. Traumatic pneumorrhachis: a rare entity of trauma. Int J Emerg Med. 2008;1(1):53.
5. Gelalis ID, Karageorgos A, Arnaoutoglou C, Gartzonikas D, Politis A, Georgakopoulos N, et al. Traumatic pneumorrhachis: etiology, pathomechanism, diagnosis, and treatment. Spine J Off J North Am Spine Soc. 2011;11(2):153–157.
6. Eroglu U, Yakar F, Zaimoglu M, Ozates O, Ozgural O, Ugur HC. Pneumorrhachis. Asian J Neurosurg. 2016;11(2):172–173.
7. Ripley DP, Wilson EJ, Meller MT, Cowlam S. Pneumorrhachis: a rare complication of diabetic ketoacidosis. Diabet Med J Br Diabet Assoc. 2009;26(5):566–567.
8. Basaran AE, Kihtir HS, Cevi̇ zoğlu M. Spontaneous pneumomediastinum in children: The experience of a pediatric tertiary center in Antalya. Akdeniz Tip Derg. 2022;8(1):55–60.

9. Yang YY, Chua CB, Hsu CW, Lee KH. Traumatic epidural pneumorrhachis: a case report. Hong Kong Med J Xianggang Yi Xue Za Zhi. 2020 Dec;26(6):528-531.
10. Pfeifle C, Henkelmann R, von der Höh N, Jarvers JS, Spiegl U, Josten C, et al. Traumatic pneumorrhachis. Injury. 2020;51(2):267– 270.