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CC BY 4.0 · Indian Journal of Neurosurgery
DOI: 10.1055/s-0044-1786975
Case Report

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

Anchal Awasthi
1   Department of Neurosurgery, Apollo Hospital, Lucknow, Uttar Pradesh, India
,
Sunil Kumar Singh
1   Department of Neurosurgery, Apollo Hospital, Lucknow, Uttar Pradesh, India
,
Ahemadullah Shaikh
1   Department of Neurosurgery, Apollo Hospital, Lucknow, Uttar Pradesh, India
,
Saurabh Kumar Verma
1   Department of Neurosurgery, Apollo Hospital, Lucknow, Uttar Pradesh, India
,
Shuchi Singh
1   Department of Neurosurgery, Apollo Hospital, Lucknow, Uttar Pradesh, India
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Abstract

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.

Keywords

cervical osteophytes - epidural abscess - esophageal perforation - quadriparesis


Publication History

Article published online:
14 May 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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