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MRI in radiation-induced myelopathy and pharyngocutaneous fistula
O Combarros1, F Iglesias, M V Guitera
1Service of Neurology, University Hospital Marqués de Valdecilla, Faculty of Medicine, Santander, Spain.
Neuroradiology
|May 1, 1996
Abstract:
A patient developed a cervical myelopathy 20 months after radiotherapy for a carcinoma of the larynx. MRI showed an intramedullary lesion at C7. Although radiation myelopathy was suspected, tumour recurrence could not be excluded. A radiation-induced pharyngocutaneous fistula, confirmed histologically, appeared a month later. The fistula lay just anterior to the level of the spinal cord lesion, a finding useful in supporting a diagnosis of simultaneous radiation myelopathy.