PDF(Pubmed)
Abstract：
BACKGROUND: Pneumorrachis is presence of air in the epidural space. It could be the result of trauma, barotrauma, iatrogenic or spontaneous. The pneumorrachis per se is an underdiagnosed entity as most of the patients are asymptomatic or have subclinical symptoms. The spontaneous occurrence of pneumorrachis has been reported in literature but giant spontaneous occurrence causing cauda equina syndrome has not been reported so far.
METHODS: We report a case of 56-year-old male patient who came to our OPD on wheelchair with complains of difficulty in walking for 6 months with dribbling of urine for 2 months with on and off back pain. His perianal sensation was reduced with absent voluntary anal contraction. Imaging revealed giant air pockets in the spinal canal of L5-S1 extending upto L4-L5. It was managed surgically wherein laminectomy without fusion was done. The patient responded well to the treatment.
CONCLUSIONS: There are many causes of pneumorrachis described in literature. Most of the cases of pneumorrachis are asymptomatic and incidentally diagnosed. With the improvement in radio-diagnostic modalities, the diagnosis of pneumorrachis can be easily established. When symptomatic, they can be managed conservatively. Those presenting with neurological deficit may require surgical intervention or other invasive intervention.
METHODS: We report a case of 56-year-old male patient who came to our OPD on wheelchair with complains of difficulty in walking for 6 months with dribbling of urine for 2 months with on and off back pain. His perianal sensation was reduced with absent voluntary anal contraction. Imaging revealed giant air pockets in the spinal canal of L5-S1 extending upto L4-L5. It was managed surgically wherein laminectomy without fusion was done. The patient responded well to the treatment.
CONCLUSIONS: There are many causes of pneumorrachis described in literature. Most of the cases of pneumorrachis are asymptomatic and incidentally diagnosed. With the improvement in radio-diagnostic modalities, the diagnosis of pneumorrachis can be easily established. When symptomatic, they can be managed conservatively. Those presenting with neurological deficit may require surgical intervention or other invasive intervention.
摘要：
背景：气动是硬膜外腔中存在空气。可能是外伤的结果,气压伤,医源性或自发性。肺心病本身是一个未被诊断的实体，因为大多数患者无症状或有亚临床症状。文献中已报道了肺不张的自发发生，但迄今为止尚未报道引起马尾综合症的巨大自发发生。
方法：我们报告了一例56岁的男性患者，他坐在轮椅上来到我们的OPD，抱怨行走困难6个月，尿流2个月，背部疼痛。由于没有自愿的肛门收缩，他的肛周感觉降低。成像显示L5-S1的椎管中巨大的气穴一直延伸到L4-L5。通过手术进行，其中进行了椎板切除术而没有融合。患者对治疗反应良好。
结论：文献中描述了许多肺不张的原因。大多数肺不张病例是无症状和偶然诊断的。随着无线电诊断方式的改进，肺不张的诊断很容易建立。当出现症状时，他们可以保守地管理。患有神经缺陷的患者可能需要手术干预或其他侵入性干预。
方法：我们报告了一例56岁的男性患者，他坐在轮椅上来到我们的OPD，抱怨行走困难6个月，尿流2个月，背部疼痛。由于没有自愿的肛门收缩，他的肛周感觉降低。成像显示L5-S1的椎管中巨大的气穴一直延伸到L4-L5。通过手术进行，其中进行了椎板切除术而没有融合。患者对治疗反应良好。
结论：文献中描述了许多肺不张的原因。大多数肺不张病例是无症状和偶然诊断的。随着无线电诊断方式的改进，肺不张的诊断很容易建立。当出现症状时，他们可以保守地管理。患有神经缺陷的患者可能需要手术干预或其他侵入性干预。
