title: Pneumorrhachis with pneumocranium: an unusual complication of intra-abdominal sepsis.
abstract: We present this unusual case of a 60-year-old gentleman who presented with meningism and reduced conscious level. Imaging demonstrated a perforated sigmoid colon with retroperitoneal air associated with pneumorrhachis and pneumocranium. He required a Hartmann's procedure and broad spectrum intra-thecal antibiotics which led to resolution of the pneumorrhachis and pneumocranium.
authors: Department of Neurosurgery, Royal Victoria Hospital, Belfast, Northern Ireland, UK.
authors: Amit
authors: A
authors: Amit
authors: Edward C
authors: EC
authors: Toll
authors: Shahid
authors: S
authors: Siddique
authors: Richard J
authors: RJ
authors: Nelson
mesh_terms: D000714:Anastomosis, Surgical; D004239:Diverticulitis, Colonic / Q000150:complications*; D006801:Humans; D007416:Intestinal Perforation / Q000150:complications; D008297:Male; D008875:Middle Aged; D011007:Pneumocephalus / Q000175:diagnosis / Q000209:etiology*; D003294:Seizures, Febrile / Q000209:etiology; D018805:Sepsis / Q000150:complications*; D013118:Spinal Cord Diseases / Q000175:diagnosis / Q000209:etiology*; D016896:Treatment Outcome