Cerebrospinal fluid leak after anterior cervical disc fusion: an unusual cause of dysphagia and neck mass.

Cerebrospinal fluid leak after anterior cervical disc fusion: an unusual cause of dysphagia and neck mass. Research Abstract Details 

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Cerebrospinal fluid leak after anterior cervical disc fusion: an unusual cause of dysphagia and neck mass. Abstract Text:

Madeleine R Schaberg,Jason I Altman,Stanley M Shapshay,Peak Woo,Madeleine R Schaberg,Jason I Altman,Stanley M Shapshay,Peak Woo,

OBJECTIVE: Dysphagia after anterior cervical disc fusion (ACDF) is a common complaint. We present two cases of dysphagia caused by a rare complication after ACDF: cerebrospinal fluid (CSF) leak into the neck. STUDY DESIGN: A case series of two patients. METHODS: Both patients underwent a chart review, comprehensive history, physical examination, flexible nasolaryngoscopy, and radiographic imaging. A literature review of the MEDLINE database (1966-2006), using key words "dysphagia" and "anterior discectomy," was performed. RESULTS: We present two patients with persistent dysphagia after ACDF surgery caused by CSF leak into the neck. Their clinical presentation, physical and radiographic examination findings, and hospital course will be discussed. CONCLUSIONS: CSF collection presenting as dysphagia and neck mass after ACDF must be included in the differential diagnosis because incision and drainage is contraindicated, and fine needle aspiration (FNA) must be performed under sterile conditions. Treatment including lumbar drain or re-exploration is appropriate.

Cerebrospinal fluid leak after anterior cervical disc fusion: an unusual cause of dysphagia and neck mass. Publishing Authors By Initials

MR Schaberg,JI Altman,SM Shapshay,P Woo,MR Schaberg,JI Altman,SM Shapshay,P Woo,

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Cerebrospinal fluid leak after anterior cervical disc fusion: an unusual cause of dysphagia and neck mass. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: The Laryngoscope

VOLUME: 117

Page Numbers: 1899-901

Journal Abbreviation: Laryngoscope

ISSN: 0023-852X

DAY: 5

MONTH: Nov

YEAR: 2007

Cerebrospinal fluid leak after anterior cervical disc fusion: an unusual cause of dysphagia and neck mass. Information

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LANGUAGE: eng

NlmUniqueID: 8607378

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Grant and Affiliation Information for Cerebrospinal fluid leak after anterior cervical disc fusion: an unusual cause of dysphagia and neck mass.

AFFILIATION: Department of Otolaryngology-Head and Neck Surgery, Mount Sinai School of Medicine, New York, NY 10029, USA. madeleine.schaberg@gmail.com

Country: United States

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MEDLINETA: Laryngoscope

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