Cervical spondylodiscitis following cricopharyngeal botulinium toxin injection
| Autor: | J. N. M. Lukassen, Marlien W. Aalbers, Maarten H. Coppes, Rob J. M. Groen |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Spondylodiscitis
medicine.medical_specialty Botulinum Toxins Discitis Epidural abscess Iatrogenic Disease Neurotoxins Cricopharyngeal muscles Injections Intramuscular 03 medical and health sciences 0302 clinical medicine Streptococcal Infections medicine Humans Vertebral osteomyelitis 030223 otorhinolaryngology Aged Paresis Neck pain Neck Pain business.industry Dysphagia Hypoesthesia Esophageal Sphincter Upper medicine.disease Surgery Corporectomy medicine.anatomical_structure VERTEBRAL OSTEOMYELITIS Otorhinolaryngology 030220 oncology & carcinogenesis Cervical Vertebrae Upper limb Female Botulinum toxin injection medicine.symptom Deglutition Disorders business Spinal Cord Compression |
| Zdroj: | European annals of otorhinolaryngology-Head and neck diseases, 136(4), 313-316. ELSEVIER MASSON, CORPORATION OFFICE |
| ISSN: | 1879-7296 |
| DOI: | 10.1016/j.anorl.2018.03.010 |
| Popis: | Background: Iatrogenic cervical spondylodiscitis is rare, but may occur after various medical interventions.Methods: We report a case of a diabetic 70-years-old female with C5-C6 spondylodiscitis and symptomatic epidural abscess with neck pain and upper limb paresis after endoscopic botulinum toxin injection for the treatment of dysphagia. Treatment included antibiotic therapy with amoxicillin and later on benzylpenicillin for the next ten weeks and corporectomy with spondylodesis.Result: The patient made an excellent recovery, with complete resolution of paresis and only minor residual hypoesthesia at one year after operation.Conclusion: Cervical spondylodiscitis should be considered early, in patients with neck pain after endoscopic cricopharyngeal injection, as timely diagnosis and treatment can prevent serious and irreversible neurological deficit. (C) 2019 Published by Elsevier Masson SAS. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect