Abstract:
:Spontaneous pneumomediastinum is an uncommon benign condition that is occasionally associated with air within the spinal canal. We describe a further case in a 14-year-old girl and suggest a classification system based on a detailed review of the previous literature. Forty-eight patients with spontaneous pneumomediastinum and intraspinal air accumulation (36 men and 12 women, age range 4-72 years, median age 18 years) were grouped into those with underlying lung disease (n = 13), those with other underlying etiologic factors (n = 22), and those arising spontaneously (n = 13). Neurologic symptoms or signs were noted in one case. The remaining cases were successfully managed conservatively. In spontaneous pneumomediastinum, accumulation of air within the spinal canal is self-limiting and benign. The same management is advised in spontaneous pneumomediastinum with and without intraspinal air accumulation.
journal_name
Chestjournal_title
Chestauthors
Belotti EA,Rizzi M,Rodoni-Cassis P,Ragazzi M,Zanolari-Caledrerari M,Bianchetti MGdoi
10.1378/chest.09-0514subject
Has Abstractpub_date
2010-05-01 00:00:00pages
1197-200issue
5eissn
0012-3692issn
1931-3543pii
S0012-3692(10)60250-4journal_volume
137pub_type
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