JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF HEAD NECK & SPINE SURGERY

JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF HEAD NECK & SPINE SURGERY

Spontaneous Pneumorrachis: A Complication of Nitrous Oxide Inhalation and Cocaine Snorting


Authored by Atul Vats

Context: Pneumorrhachis (PR) is an uncommon condition characterized by the presence of air within the spinal canal. Usually it results following trauma or surgery involving spinal instrumentation. Spontaneous pnemorrachis has also been described in association with spontaneous pneumomediastinum or secondary to marijuana smoking and cocaine snorting.

Findings: We report a case of spontaneous pnemorrachis in a patient who was snorting cocaine along with nitrous oxide inhalation for recreation.

Conclusion: It is helpful to elicit a history of illicit drug use, particularly regarding cocaine in a case of spontaneous pneumorrhachis. 

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