Transverse cervical myelopathy: An unusual complication of retropharyngeal abscess

Abstract

Retropharyngeal abscess complicated by suppuration in the central nervous system, intra- or extraaxial, is rare. Acute transverse myelopathy complicating a retropharyngeal abscess may be more frequent than epidural spinal abscess and usually affects the thoracic cord. Therefore, the occurrence of acute high cervical transverse myelopathy is rarely encountered and warrants reporting. The need for neuroradiologic diagnostic evaluation is emphasized in order to rule out a surgically treatable lesion.

Gasping infant for emergency neck exploration, anaesthesiologist's nightmare!

“…Posterior spread of infection can result in osteomyelitis and erosion of the spinal column, causing vertebral subluxation or acute transverse myelopathy. 10 The infection itself can evolve into necrotizing fasciitis which can lead to even sepsis and death. The patient is often dehydrated, that results in electrolyte imbalance and metabolic derangements due to poor oral intake.…”

Cervical vertebral osteomyelitis revisited: A case of retropharyngeal abscess and progressive muscle weakness

“…3 Moreover, few cases of osteomyelitis complicating retropharyngeal abscess have been reported. [4][5][6][7] Thus it must be very difficult even for a neurologist to distinguish a cervical vertebral osteomyelitis from a case of deep neck infection showing muscle weakness and sensory disturbance. The most important point in the diagnosis and treatment of vertebral osteomyelitis is the knowledge and consideration of this disease.…”