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Where has the air gone?
  1. Teresa Salerno1,
  2. Renato Cutrera1,
  3. Francesco Paolo Rossi1,
  4. Laura Menchini2,
  5. Andrew Bush3
  1. 1Department of Pediatrics, Bronchopneumology Unit, Children's Hospital and Research Institute Bambino Gesù, Rome, Italy
  2. 2Department of Radiology, Children's Hospital and Research Institute Bambino Gesù, Rome, Italy
  3. 3Department of Pediatric Respirology, Royal Brompton Hospital, London, UK
  1. Correspondence to Teresa Salerno, Department of Pediatrics, Bronchopneumology Unit, Children's Hospital and Research Institute Bambino Gesù, Piazza S. Onofrio 4, 00135, Rome, Italy; teresa.salerno{at}opbg.net

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Pneumorrhachis (air within the spinal canal) is rare and usually associated with other air leaks. Diagnosis is usually by high resolution CT scan.

A 9-year-old boy had a 10-day history of persistent cough despite treatment with inhaled bronchodilators, systemic steroids and antibiotics before coming to hospital. Physical examination demonstrated good general condition, cervical subcutaneous emphysema and reduced breath sounds with widespread crackles and …

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