Spinal epidural abscess after cervical pharyngoesophageal dilation

Dale C. Ekbom, Joanna D-Elia, Brandon Isaacson, Frank LaMarca, Douglas B. Chepeha, Carol R. Bradford

Research output: Contribution to journalArticle

15 Scopus citations

Abstract

Background. Esophageal perforation is an uncommon but known complication of esophageal dilation. Abscess after esophageal tear is rare, especially in the spinal epidural space. This is one case report of such an abscess. Methods. We present a case of a spinal epidural abscess after cervical pharyngoesophageal dilation. Results. After surgical decompression and abscess drainage, long-term intravenous antibiotics, and physical therapy, the patient has regained some functional use of her left upper extremity. Conclusions. Early diagnosis with a gadolinium-enhanced MRI and aggressive surgical treatment are keys to successful management with a good functional outcome after this unfortunate complication.

Original languageEnglish (US)
Pages (from-to)543-548
Number of pages6
JournalHead and Neck
Volume27
Issue number6
DOIs
StatePublished - Jun 1 2005

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Keywords

  • Cervical esophagus
  • Esophageal dilation
  • Esophageal perforation
  • Pharyngoesophageal stricture
  • Spinal epidural abscess

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Ekbom, D. C., D-Elia, J., Isaacson, B., LaMarca, F., Chepeha, D. B., & Bradford, C. R. (2005). Spinal epidural abscess after cervical pharyngoesophageal dilation. Head and Neck, 27(6), 543-548. https://doi.org/10.1002/hed.20183