Abstract：
UNASSIGNED: A 57-year-old man presented with odynophagia for 1 week was referred for FDG PET/CT scan to rule out recurrent hypopharyngeal cancer. The FDG PET/CT showed hypermetabolic lesions in hypopharyngeal area and adjacent cervical spine with pneumorrhachis, the presence of intraspinal air, on attenuation CT images, which might indicate a life-threatening infection. An emergency MRI confirmed the presence of cervical spondylodiscitis with an epidural abscess. The patient rapidly progressed to quadriplegia and difficulty voiding on the same day as the PET/CT scan, leading to emergent operation. The patient received antibiotics treatment and discharged 4 months later without evidence of cancer recurrence.
摘要：
■一名57岁的男性出现吞咽困难1周，接受FDGPET/CT扫描以排除下咽复发性癌。FDGPET/CT显示下咽区及邻近颈椎高代谢病变伴肺出血，椎管内空气的存在,在衰减CT图像上，这可能表明有危及生命的感染.紧急MRI证实存在颈椎病伴硬膜外脓肿。患者在PET/CT扫描的同一天迅速进展为四肢瘫痪和排尿困难，导致紧急行动。患者接受抗生素治疗，4个月后出院，无癌症复发迹象。
