Cervical Spine Osteomyelitis and Epidural Abscess after Chemoradiotherapy for Hypopharyngeal Carcinoma : A Case Report
Source
Case Reports in Otolaryngology
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-03-04
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Osteomyelitis of mandible as a delayed adverse event following radiation therapy has been widely reported; however, osteomyelitis of the cervical spine has rarely been reported.
In this study, we reported our experience with a case of cervical spine osteomyelitis and epidural abscess after concurrent chemoradiotherapy (CCRT) for hypopharyngeal carcinoma.
The case involved a 68-year old man who underwent radical CCRT after a diagnosis of stage IVb, T4bN2cM0 posterior hypopharyngeal wall carcinoma.
At 7 months after completing the initial therapy, the patient complained of severe pain in the neck and both shoulders and reduced muscular strength in the extremities.
A large defect was found on the mucosa of posterior hypopharyngeal wall.
On cervical magnetic resonance imaging, cervical spine osteomyelitis and an epidural abscess were observed.
Because antimicrobial therapy was not effective, hyperbaric oxygen therapy was administered.
Abscess reduction and improvement of the mucosal defect were observed.
Because cervical spine complications after CCRT can be fatal upon worsening, adequate attention must be given.
American Psychological Association (APA)
2014. Cervical Spine Osteomyelitis and Epidural Abscess after Chemoradiotherapy for Hypopharyngeal Carcinoma : A Case Report. Case Reports in Otolaryngology،Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-449021
Modern Language Association (MLA)
Cervical Spine Osteomyelitis and Epidural Abscess after Chemoradiotherapy for Hypopharyngeal Carcinoma : A Case Report. Case Reports in Otolaryngology No. 2014 (2014), pp.1-4.
https://search.emarefa.net/detail/BIM-449021
American Medical Association (AMA)
Cervical Spine Osteomyelitis and Epidural Abscess after Chemoradiotherapy for Hypopharyngeal Carcinoma : A Case Report. Case Reports in Otolaryngology. 2014. Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-449021
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-449021