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.
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Combarros, O., Iglesias, F., Guitera, M.V. et al. MRI in radiation-induced myelopathy and pharyngocutaneous fistula. Neuroradiology 38 (Suppl 1), S130–S132 (1996). https://doi.org/10.1007/BF02278140
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DOI: https://doi.org/10.1007/BF02278140