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Pneumorrhachis is defined as the presence of air in the epidural space orsubarachnoid space. The air may migrate along fascial planes from the posteriormediastinum, through the neural foramina, and into the epidural space.Pneumorrhachis is rare, and even more so in the paediatric population.Pneumorrhachis in itself usually is asymptomatic, does not tend to migrate andreabsorbs spontaneously. The combination of pneumomediastinum with epiduralpneumorrhachis without thoracic trauma has rarely been reported in theliterature. The present case report describes the presence of pneumomediastinum,subcutaneous emphysema, and pneumorrhachis in a child asthmatic patient who hada history of fever, violent cough.

Pneumorrhachis associated with bronchial asthma, subcutaneous emphysema and pneumomediastinum.