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

Author:

Awasthi Anchal1,Singh Sunil Kumar1,Shaikh Ahemadullah1,Verma Saurabh Kumar1,Singh Shuchi1

Affiliation:

1. Department of Neurosurgery, Apollo Hospital, Lucknow, Uttar Pradesh, India

Abstract

AbstractAn 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.

Publisher

Georg Thieme Verlag KG

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