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Related Concept Videos

Esophageal Achalasia01:27

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Esophageal achalasia is a chronic neurogenic disorder characterized by impaired relaxation of the lower esophageal sphincter (LES) and absent or ineffective peristalsis in the distal esophagus. This leads to a functional obstruction without a physical blockage, despite significant disruption of esophageal motility.EtiologyAchalasia is caused by degeneration of the myenteric (Auerbach's) plexus, specifically the loss of inhibitory ganglion cells that produce vasoactive intestinal peptide...
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Related Experiment Video

Updated: Apr 28, 2026

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Idiopathic cervical osteomyelitis presenting as dysphagia.

G Ghaly1, A Espeso1, B Fish2

  • 1Derriford Hospital, Plymouth, UK.

Journal of Surgical Case Reports
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This study details a rare case of cervical epidural abscess with osteomyelitis, where dysphagia was the primary symptom. The patient recovered with intravenous antibiotics, highlighting conservative treatment options for spinal epidural abscesses.

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Area of Science:

  • Medicine
  • Neurology
  • Infectious Diseases

Background:

  • Spinal epidural abscesses (SEAs) are serious infections that can lead to severe neurological deficits.
  • Idiopathic cases, without clear predisposing factors, are less common and pose diagnostic challenges.
  • Cervical epidural abscesses, specifically, can present with subtle or atypical symptoms.

Purpose of the Study:

  • To report a unique case of idiopathic cervical epidural abscess complicated by osteomyelitis.
  • To review the clinical presentation of spinal epidural abscesses.
  • To discuss the indications for surgical versus conservative management of SEAs.

Main Methods:

  • Case report of a patient with idiopathic cervical epidural abscess and osteomyelitis.
  • Review of existing literature on spinal epidural abscess presentation and management.
  • Analysis of treatment outcomes for conservative and surgical interventions.

Main Results:

  • The patient presented with dysphagia as the primary symptom, with no identifiable predisposing factors and negative blood cultures.
  • Conservative management with a prolonged course of intravenous antibiotics was successful.
  • Literature review indicates varied presentations and a need for careful consideration of treatment strategies.

Conclusions:

  • Idiopathic cervical epidural abscess with osteomyelitis can present with dysphagia and be successfully treated conservatively.
  • Early recognition and appropriate antibiotic therapy are crucial for favorable outcomes.
  • A thorough understanding of SEA presentations and treatment options is essential for clinicians.