Cervical Spine Osteomyelitis and Epidural Abscess after Chemoradiotherapy for Hypopharyngeal Carcinoma: A Case Report
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 concurren...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Otolaryngology |
| Online Access: | http://dx.doi.org/10.1155/2014/141307 |
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| author | Yushi Ueki Jun Watanabe Shigehisa Hashimoto Sugata Takahashi |
| author_facet | Yushi Ueki Jun Watanabe Shigehisa Hashimoto Sugata Takahashi |
| author_sort | Yushi Ueki |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-387e742d1e254cc99dfdb19ce50b44a5 |
| institution | Kabale University |
| issn | 2090-6765 2090-6773 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Otolaryngology |
| spelling | doaj-art-387e742d1e254cc99dfdb19ce50b44a52025-02-03T06:13:18ZengWileyCase Reports in Otolaryngology2090-67652090-67732014-01-01201410.1155/2014/141307141307Cervical Spine Osteomyelitis and Epidural Abscess after Chemoradiotherapy for Hypopharyngeal Carcinoma: A Case ReportYushi Ueki0Jun Watanabe1Shigehisa Hashimoto2Sugata Takahashi3Otorhonolaryngology Department, Niigata City Genaral Hospital, 463-7 Syumoku, Chuo-Ku, Niigata-shi, Niigata 950-1197, JapanOtorhonolaryngology Department, Niigata City Genaral Hospital, 463-7 Syumoku, Chuo-Ku, Niigata-shi, Niigata 950-1197, JapanOtorhonolaryngology Department, Niigata City Genaral Hospital, 463-7 Syumoku, Chuo-Ku, Niigata-shi, Niigata 950-1197, JapanDepartment of Otolaryngology, Head and Neck Surgery, Niigata University, Faculty of Medicine, 757 Ichibancho, Asahimachidori Chuo-ku, Niigata-shi 951-8510, JapanOsteomyelitis 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.http://dx.doi.org/10.1155/2014/141307 |
| spellingShingle | Yushi Ueki Jun Watanabe Shigehisa Hashimoto Sugata Takahashi Cervical Spine Osteomyelitis and Epidural Abscess after Chemoradiotherapy for Hypopharyngeal Carcinoma: A Case Report Case Reports in Otolaryngology |
| title | Cervical Spine Osteomyelitis and Epidural Abscess after Chemoradiotherapy for Hypopharyngeal Carcinoma: A Case Report |
| title_full | Cervical Spine Osteomyelitis and Epidural Abscess after Chemoradiotherapy for Hypopharyngeal Carcinoma: A Case Report |
| title_fullStr | Cervical Spine Osteomyelitis and Epidural Abscess after Chemoradiotherapy for Hypopharyngeal Carcinoma: A Case Report |
| title_full_unstemmed | Cervical Spine Osteomyelitis and Epidural Abscess after Chemoradiotherapy for Hypopharyngeal Carcinoma: A Case Report |
| title_short | Cervical Spine Osteomyelitis and Epidural Abscess after Chemoradiotherapy for Hypopharyngeal Carcinoma: A Case Report |
| title_sort | cervical spine osteomyelitis and epidural abscess after chemoradiotherapy for hypopharyngeal carcinoma a case report |
| url | http://dx.doi.org/10.1155/2014/141307 |
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