title: Carcinoma of the oesophagus causing paraparesis by direct extension to the spinal cord.
abstract: 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.
authors.affiliation: Department of Gastroenterology, Royal Sussex County Hospital, Brighton, UK.
authors.forename: J A
authors.initials: JA
authors.lastname: Tibble
authors.forename: A C
authors.initials: AC
authors.lastname: Ireland
mesh_terms: 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