Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
Eur Spine J. 2013 May;22 Suppl 3(Suppl 3):S369-72. doi: 10.1007/s00586-012-2478-6. Epub 2012 Aug 24.
Spinal epidural abscess is an uncommon entity, especially in the cervical region.
We report a patient with epidural abscess, vertebral osteomyelitis and discitis in the cervical spine that was caused by iatrogenic perforation of the pharynx during diagnostic oesophagoscopy, which has not been recorded previously in the literature.
Cervical spinal epidural abscess may be caused by iatrogenic perforation of pharyngeal wall during diagnostic oesophagoscopy. Early diagnosis with an MRI and surgical treatment with antimicrobial chemotherapy are keys to successful management of this rare and life-threatening complication.
硬脊膜外脓肿是一种罕见的病症,尤其是在颈椎部位。
我们报告了一例由诊断性食管镜检查时咽壁医源性穿孔引起的颈椎硬脊膜外脓肿、椎体骨髓炎和椎间盘炎的患者,这在文献中尚未有记录。
颈椎硬脊膜外脓肿可能是由诊断性食管镜检查时咽壁医源性穿孔引起的。早期诊断、MRI 检查和手术治疗联合抗菌药物化疗是成功治疗这种罕见且危及生命的并发症的关键。