Carcinoma of the oesophagus causing paraparesis by direct extension to the spinal cord.
A 75-year-old man presented with dysphagia and subsequent paraparesis. He was treated by oesophageal dilatation and by the placement of an 8.4 cm Atkinson tube. It was shown that an oesophago-subarachnoid fistula, a rare complication of carcinoma of the oesophagus, had developed. This resulted from direct extension of the tumour to the spinal cord and caused paraparesis unrelated to treatment.
Tibble
J A
JA
Department of Gastroenterology, Royal Sussex County Hospital, Brighton, UK.
Ireland
A C
AC
D000368:Aged; D015174:Epidural Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary*; D004938:Esophageal Neoplasms / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D009192:Myelography; D013117:Spinal Cord Compression / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed