Spinal Epidural Abscess Presenting with Paraplegia Following Delayed Presentation of Traumatic Esophageal Perforation without Spinal Fracture: Lessons to be Learnt

Baron, Ryan; Pal, Debasish; Crimmins, Darrach W.; Dexter, S. P. L.

doi:10.1007/s00068-009-8225-y

Cited by 5 publications

(3 citation statements)

References 12 publications

(25 reference statements)

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“…Although death can be seen in cases with sepsis or comorbidities, its rates have decreased with the use of antibiotics. The reversible neurological deficit is associated with early diagnosis and decompression of the spinal canal, especially in the first 24 hours [2][3][4] .…”

Section: Discussionmentioning

confidence: 99%

“…Invasive interventions to the spinal region, trauma, systemic or surrounding tissue infection play a role in its etiology 3 . In spite of being cases of spinal epidural abscess that seconder to esophageal rupture in the literature, these generally developed after interventions to the esophagus or traumatic blows to the thoracic wall or vertebrae 4 . In our case, anteriorly located spinal epidural abscess, which is caused by spontaneous esophageal rupture as complication of radiotherapy, is described.…”

Section: Introductionmentioning

confidence: 99%

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A Rare Cause of Epidural Abscess: Esophageal Perforation After Radiotherapy

Atiş

Altay

Atiş

2021

Journal of Emergency Medicine Case Reports

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Introduction: Spinal epidural abscess is a rare neurosurgical emergency that is usually seen invasive interventions to the spinal region, trauma or infection. In our case, anteriorly located spinal epidural abscess, which is caused by spontaneous esophageal rupture as complication of radiotherapy, is described.Case report: A 60-year-old female patient was admitted to the emergency department with complaints of confusion, high fever and weakness in both legs. The patient had been treated for lung metastasis of breast cancer with radiotherapy. Spinal anterior epidural abscess was observed in the spinal imaging, and it was considered that the abscess developed after esophageal rupture secondary to radiotherapy. After surgery the patient had antibiotic treatment during the postoperative period. Although there are cases of spinal epidural abscess that developed after esophageal rupture in the literature, they were generally observed after interventions to the esophagus or trauma to the chest. In our case, epidural abscess developed after radiotherapy, that caused esophageal rupture, was presented. Conclusion:Clinicians should consider spinal epidural abscess, which is a rare complication in patients with walking difficulties after radiotherapy, in the differential diagnosis.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A Rare Cause of Epidural Abscess: Esophageal Perforation After Radiotherapy

Atiş

Altay

Atiş

2021

Journal of Emergency Medicine Case Reports

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“…Esophageal perforation is an uncommon consequence of blunt trauma 1 2 in road traffic accidents and hyperextension-flexion injuries of the cervical spine 3 have proved to be a rarer cause of esophageal perforation. To our knowledge, this is the second reported case of vertebral osteophytes causing traumatic esophageal perforation.…”

Section: Introductionmentioning

confidence: 99%

Quadriparesis Following Intrinsic Traumatic Esophageal Perforation: Report of a Rare Case

Awasthi,

Singh,

Shaikh

et al. 2024

Indian Journal of Neurosurgery

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An elderly diabetic gentleman developed epidural abscess several days after traumatic esophageal perforation secondary to flexion-extension injury of the cervical spine in a road traffic accident. The patient underwent high-resolution ultrasonography of the neck along with noncontrast computed tomography and magnetic resonance imaging of the cervical spine, which showed collection in soft tissue of the neck region along with epidural abscesses and osteophytes at multiple levels. However, due to the rarity of cervical esophageal perforation due to vertebral osteophytes, esophageal perforation was missed and was only diagnosed during the second admission of the patient, about 1 month later, when he presented with progressive quadriparesis. We present an extremely rare case of cervical esophageal perforation due to a flexion-extension injury.

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