Air within the spinal canal in spontaneous pneumomediastinum

Belotti, Eva A; Rizzi, Mattia; Rodoni-Cassis, Paola; Ragazzi, Monica; Zanolari-Caledrerari, Maura; Bianchetti, Mario G (2010). Air within the spinal canal in spontaneous pneumomediastinum. Chest, 137(5), pp. 1197-200. Northbrook, Ill.: American College of Chest Physicians 10.1378/chest.09-0514

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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.

Item Type:

Journal Article (Original Article)


04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Medicine

UniBE Contributor:

Bianchetti, Mario Giovanni




American College of Chest Physicians




Factscience Import

Date Deposited:

04 Oct 2013 14:07

Last Modified:

04 May 2014 23:04

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Web of Science ID:


URI: (FactScience: 196553)

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