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Post-operatively, he developed sudden onset paraplegia and imaging revealed a tension pneumosyrinx which was subsequently surgically decompressed. He made a gradual neurological recovery. This is an extremely rare complication with potentially long-lasting deleterious effects on patients\u2019 neurological status if not recognized. We aim to bring this pathology to the attention of our neurosurgical colleagues and share our surgical approach and management to assist those who may encounter this pathology in the future.<\/jats:p>","DOI":"10.1007\/s00701-022-05286-8","type":"journal-article","created":{"date-parts":[[2022,6,27]],"date-time":"2022-06-27T12:04:43Z","timestamp":1656331483000},"page":"2351-2355","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Iatrogenic post-surgical tension pneumosyrinx\u2014a first reported case"],"prefix":"10.1007","volume":"164","author":[{"given":"Shyam S.","family":"Swarna","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0056-440X","authenticated-orcid":false,"given":"Josephine","family":"Jung","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steve","family":"Connor","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maurizio","family":"Belci","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gordon","family":"Grahovac","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,6,27]]},"reference":[{"key":"5286_CR1","volume":"2015","author":"T Atmaca Temrel","year":"2015","unstructured":"Atmaca Temrel T, \u015eener A, \u0130\u00e7me F et al (2015) Subcutaneous emphysema, pneumomediastinum, and pneumorrhachis after cocaine inhalation. 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