Pneumorrhachis (PR) is a clinical entity, consisting of intraspinal air.
We present two cases of SPM with pneumorrhachis caused by vigorous coughing.
Pneumorrhachis results from the communication between the posterior mediastinum and epidural space since there are no fascial barriers to prevent it .
Our patients presented with asymptomatic spontaneous pneumorrhachis associated with SPM, which was successfully managed conservatively.
SPM is usually asymptomatic and self-remittent, with or without pneumorrhachis ; however, prompt diagnosis and close monitoring remain important in order to avoid potential serious complications.
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