Esophageal-meningeal fistula after anterior cervical corpectomy, stereotactic body radiation therapy (SBRT), and bevacizumab-containing systemic therapy for metastatic epidural spinal cord compression (MESCC)

Autor: Steve H. Monk, Eliane C. Biester, Kunal C. Kadakia, Andrew T. Healy, John H. Heinzerling
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Interdisciplinary Neurosurgery, Vol 26, Iss , Pp 101343- (2021)
Druh dokumentu: article
ISSN: 2214-7519
DOI: 10.1016/j.inat.2021.101343
Popis: Metastatic epidural spinal cord compression (MESCC) is a common complication of malignancy. Surgical decompression and stabilization are commonly undertaken to prevent mechanical instability and deformity, relieve neurologic compression, and facilitate stereotactic body radiation therapy (SBRT). We report a case of an esophageal-meningeal fistula following anterior cervical corpectomy, SBRT, and bevacizumab-containing systemic therapy for MESCC. Esophageal-meningeal fistulae have been rarely reported following injury to the esophagus and dura at the time of surgery or in a delayed manner secondary to hardware failure. Our report is the first to highlight that, in the absence of such injury, anterior decompression can still create the possibility of esophageal-meningeal fistula in the treatment field.
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