Hamman syndrome with a rare feature of pneumorrhachis – an unusual complication of polysubstance abuse and e-vaping

Muhammad Saad Anwar; Anosh Aslam Khan; Richa Dua; Fatima Kausar Nawaz; Farhan Khalid; Doantrang Du

doi:10.12890/2024_004473

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Hamman syndrome with a rare feature of pneumorrhachis – an unusual complication of polysubstance abuse and e-vaping

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Hamman syndrome with a rare feature of pneumorrhachis – an unusual complication of polysubstance abuse and e-vaping

Muhammad Saad Anwar, Anosh Aslam Khan, Richa Dua, Fatima Kausar Nawaz, Farhan Khalid and Doantrang Du

European journal of case reports in internal medicine, v 11(6), 004473

02 May 2024

DOI: https://doi.org/10.12890/2024_004473

PMID: 38846659

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Abstract

Hamman syndrome is defined as dissection of air in mediastinum and skin fascia usually due to increased intrathoracic pressure. The air leak tends to make its way into pleural and pericardial layers; however, in rare instances air can also dissect into epidural spaces, regarded as pneumorrhachis. We present a case of a young male with a history of polysubstance abuse and e-vaping, who presented with symptoms of altered mental status. Given the concerning physical examination, a computed tomography of the chest was undertaken, which showed pneumothorax, pneumomediastinum and pneumorrhachis. The patient was closely monitored in the intensive care unit and improved after symptomatic management. The symptoms of pneumorrhachis depend on the volume and location of air in intracranial and intraspinal space. Although asymptomatic in our case, it is crucial for clinicians to be aware that pneumorrhachis with Hamman syndrome can potentially cause neurological deficits and cardiopulmonary arrest in severe cases due to increased intraspinal and intracranial hypertension, emphasising the need for close monitoring.

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Title: Hamman syndrome with a rare feature of pneumorrhachis – an unusual complication of polysubstance abuse and e-vaping
Creators: Muhammad Saad Anwar - Monmouth Medical Center
Anosh Aslam Khan - Monmouth Medical Center
Richa Dua - Monmouth Medical Center
Fatima Kausar Nawaz - The Wright Center for Graduate Medical Education
Farhan Khalid - Monmouth Medical Center
Doantrang Du - Monmouth Medical Center
Publication Details: European journal of case reports in internal medicine, v 11(6), 004473
Resource Type: Journal article
Language: English
Academic Unit: Pediatrics
Scopus ID: 2-s2.0-85195254404
Other Identifier: 991021930442104721

Hamman syndrome with a rare feature of pneumorrhachis – an unusual complication of polysubstance abuse and e-vaping

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