Pneumorrhachis mimicking meningitis after a paramedian lumbar interlaminar injection

Gildasio S. De Oliveira, Jean Charchaflieh, David Walega

Research output: Contribution to journalArticlepeer-review

5 Scopus citations


We report a case of a 76-year-old female with chronic back pain owing to a degenerative disc disease at L5 to S1. She underwent a paramedian lumbar interlaminar injection in the prone position at the level of L5-S1 using loss of resistance technique and without fluoroscopic guidance. The patient was admitted to the intensive care unit on the day after the procedure with objective signs of meningeal irritation. A computed tomography scan of the spine showed presence of multiple air levels within the spinal canal. The patients symptoms resolved spontaneously and she was discharged to home the next day.

Original languageEnglish (US)
Pages (from-to)355-356
Number of pages2
JournalClinical Journal of Pain
Issue number4
StatePublished - May 2011


  • Pneumorrhachis lumbar injection
  • back pain treatment
  • meningitis

ASJC Scopus subject areas

  • Clinical Neurology
  • Anesthesiology and Pain Medicine


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