Document Detail

Traumatic epidural emphysema.
MedLine Citation:
PMID:  15543056     Owner:  NLM     Status:  MEDLINE    
STUDY DESIGN: This is a case report. OBJECTIVE: A rare case of epidural emphysema secondary to traumatic pneumomediastinum in the absence of pneumothorax is reported. SUMMARY OF BACKGROUND DATA: Epidural air secondary to traumatic pneumomediastinum in the absence of pneumothorax has only been reported previously by Willing. Other causes of traumatic epidural emphysema include pneumothorax, pelvic fracture, dural enteric fistula, and herniation of a spinal disc. METHODS: A young man who sustained blunt cervical and chest trauma after a basketball game accident was found to have pneumomediastinum and surgical emphysema on a chest radiograph and underwent computed tomography (CT). RESULTS: The CT scan demonstrated surgical emphysema, pneumomediastinum, and epidural emphysema with no pneumothorax. The patient was managed conservatively, and the epidural emphysema and pneumomediastinum resolved spontaneously. CONCLUSION: Epidural emphysema secondary to traumatic pneumomediastinum is benign and self-limiting. However, the life-threatening causes should be considered and ruled out.
Brian K P Goh; Kok-Kit Ng; Michael N Y Hoe
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Spine     Volume:  29     ISSN:  1528-1159     ISO Abbreviation:  Spine     Publication Date:  2004 Nov 
Date Detail:
Created Date:  2004-11-15     Completed Date:  2006-01-17     Revised Date:  2009-07-09    
Medline Journal Info:
Nlm Unique ID:  7610646     Medline TA:  Spine (Phila Pa 1976)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E528-30     Citation Subset:  IM    
Department of General Surgery, Changi General Hospital, Singapore.
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MeSH Terms
Anti-Bacterial Agents / therapeutic use
Basketball / injuries*
Epidural Space / injuries*,  radiography*
Mediastinal Emphysema / drug therapy,  etiology,  radiography*
Thoracic Vertebrae / radiography
Reg. No./Substance:
0/Anti-Bacterial Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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