Progressive Dysphagia in Patient With Cervical Plate Complicated With Posterior Pharyngeal Wall Erosion

A 58-year-old male patient with a history of Parkinson's disease and solitary cervical spinal sarcoma underwent corpectomy, a fusion of C3-C6 with cervical fixation plate placement, and stereotactic body radiation therapy, presented 18 months following surgery with dysphagia, concomitant with w...

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Autores principales: Hosseini, Davood K, Moradi, Ramtin, Schoch, Tyler, Philip, Lesley, Shukla, Nilesh B
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Internal Medicine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9124480/
https://www.ncbi.nlm.nih.gov/pubmed/35611364
http://dx.doi.org/10.7759/cureus.25205
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author Hosseini, Davood K
Moradi, Ramtin
Schoch, Tyler
Philip, Lesley
Shukla, Nilesh B
author_facet Hosseini, Davood K
Moradi, Ramtin
Schoch, Tyler
Philip, Lesley
Shukla, Nilesh B
author_sort Hosseini, Davood K
collection PubMed
description A 58-year-old male patient with a history of Parkinson's disease and solitary cervical spinal sarcoma underwent corpectomy, a fusion of C3-C6 with cervical fixation plate placement, and stereotactic body radiation therapy, presented 18 months following surgery with dysphagia, concomitant with weakness, diplopia. The initial workup in cervical magnetic resonance imaging (MRI) revealed aerodigestive tract soft tissue enhancement. Dysphagia progressed during hospitalization, and the patient was intubated due to aspiration pneumonia and respiratory failure. Further evaluations with esophagogastroduodenoscopy (EGD) revealed posterior pharyngeal wall, upper cervical esophageal erosion, and the presence of a cervical fixation plate in the hypopharynx.
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spelling pubmed-91244802022-05-23 Progressive Dysphagia in Patient With Cervical Plate Complicated With Posterior Pharyngeal Wall Erosion Hosseini, Davood K Moradi, Ramtin Schoch, Tyler Philip, Lesley Shukla, Nilesh B Cureus Internal Medicine A 58-year-old male patient with a history of Parkinson's disease and solitary cervical spinal sarcoma underwent corpectomy, a fusion of C3-C6 with cervical fixation plate placement, and stereotactic body radiation therapy, presented 18 months following surgery with dysphagia, concomitant with weakness, diplopia. The initial workup in cervical magnetic resonance imaging (MRI) revealed aerodigestive tract soft tissue enhancement. Dysphagia progressed during hospitalization, and the patient was intubated due to aspiration pneumonia and respiratory failure. Further evaluations with esophagogastroduodenoscopy (EGD) revealed posterior pharyngeal wall, upper cervical esophageal erosion, and the presence of a cervical fixation plate in the hypopharynx. Cureus 2022-05-22 /pmc/articles/PMC9124480/ /pubmed/35611364 http://dx.doi.org/10.7759/cureus.25205 Text en Copyright © 2022, Hosseini et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Internal Medicine
Hosseini, Davood K
Moradi, Ramtin
Schoch, Tyler
Philip, Lesley
Shukla, Nilesh B
Progressive Dysphagia in Patient With Cervical Plate Complicated With Posterior Pharyngeal Wall Erosion
title Progressive Dysphagia in Patient With Cervical Plate Complicated With Posterior Pharyngeal Wall Erosion
title_full Progressive Dysphagia in Patient With Cervical Plate Complicated With Posterior Pharyngeal Wall Erosion
title_fullStr Progressive Dysphagia in Patient With Cervical Plate Complicated With Posterior Pharyngeal Wall Erosion
title_full_unstemmed Progressive Dysphagia in Patient With Cervical Plate Complicated With Posterior Pharyngeal Wall Erosion
title_short Progressive Dysphagia in Patient With Cervical Plate Complicated With Posterior Pharyngeal Wall Erosion
title_sort progressive dysphagia in patient with cervical plate complicated with posterior pharyngeal wall erosion
topic Internal Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9124480/
https://www.ncbi.nlm.nih.gov/pubmed/35611364
http://dx.doi.org/10.7759/cureus.25205
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