PMC8326144_01
Spontaneous pneumorrhachis in 14 years old with extensive mediastinum. (a) Sagittal CT view showing air tracking through the neuroforamina, (b) sagittal CT showing air throughout the dorsal epidural space in the thoracic spine, (c) axial CT of the thoracic spine showing air tracking through the dorsal epidural space out the bilateral neuroforamina.
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F1
Air was seen tracking through the neuroforamen bilaterally at multiple levels [Figure 1].
Interval CT scan 2 days after initial scan. Sagittal views of the cervical spine (a) and thoracic spine (b) showing near-complete resolution of pneumorrhachis after conservative management and serial neurologic examination.
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F2
The follow-up CT scan 2 days later showed almost complete resolution of the pneumorrhachis [Figure 2].