ArticleCureus2026
Fulminant Tetraplegia in a Patient on Infliximab: A Case of Masked Cervical Spinal Epidural Abscess Presenting With Dysphagia.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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2 authors.
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Abstract
While spinal epidural abscess (SEA) is a well-recognized neurosurgical emergency, its diagnosis remains a formidable challenge when presenting with atypical symptoms such as dysphagia, particularly in patients under anti-tumor necrosis factor (TNF) therapy. This report describes a critical diagnostic trap: a fulminant cervical SEA in a 59-year-old male patient treated with infliximab for ankylosing spondylitis. Despite being afebrile and neurologically intact upon admission, laboratory investigations revealed a massive inflammatory syndrome (C-reactive protein: 282.9 mg/L). His condition rapidly progressed to sudden tetraplegia during diagnostic imaging. MRI confirmed C3-C4 spondylodiscitis with a massive prevertebral and spinal epidural abscess causing critical cord compression (5 mm residual canal). The patient underwent emergency C3-C4 anterior discectomy and abscess drainage. Despite the successful eradication of the methicillin-susceptible
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