TY - JOUR
AR - SCR-2021-12-103
TI - Pneumorrhachis: A Rare Prognostic Lesson
AU - Rosa, Sun
AU - Imran, Haq
JO - Surgical Case Reports
PY - 2021
DA - Thu 30, Dec 2021
SN - 2613-5965
DO - http://dx.doi.org/10.31487/j.SCR.2021.12.03
UR - https://www.sciencerepository.org/pneumorrhachis-a-rare-prognostic_SCR-2021-12-103 
KW - Pneumorrhachis, trauma, prognostication
AB - Objective: We present a case of poly-traumatic epidural pneumorrhachis of an 87-year-old gentleman who had unremarkable neurology on presentation. We give an overview of aetiology and indications for intervention in pneumorrhachis.
Background: Pneumorrhachis is the presence of air within the spinal canal, aetiologically it is widely variable though its observation in practice is rare. 
Methods: Descriptive. 
Results: We show figures illustrating CT images of pneumorrhachis at C3/4 level. The patient underwent progressive neurological deterioration over the course of four days on intensive care, and subsequently passed away. 
Conclusion: The presence of pneumorrhachis is well known to be associated with poor prognosis, and in our case predicted his subsequent neurological decline despite initial presentation. The presence of pneumorrhachis also serves as an important clue for hidden injuries.