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Unusual association of diseases/symptoms
Posterior pharyngeal wall carcinoma presenting as sudden onset bilateral upper limb radiculopathy
  1. Swaroop Revannasiddaiah1,
  2. Priyanka Thakur1,
  3. Madhup Rastogi1,
  4. Irappa Madabhavi2,
  5. Adarshkumar Bellad2,
  6. Sandeep Chindi2
  1. 1Radiation Therapy and Oncology Department, Regional Cancer Centre, Shimla, Himachal Pradesh, India
  2. 2Internal Medicine Department, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India
  1. Correspondence to Dr Swaroop Revannasiddaiah, swarooptheone{at}


This report describes the case of an elderly gentleman who presented with sudden onset bilateral upper limb radiculopathy and neck stiffness. On neck radiography, erosion of the fourth cervical vertebral body was seen. Further evaluation revealed the cause to be a moderately differentiated squamous cell carcinoma of the posterior pharyngeal wall. In spite of prompt initiation of radiation therapy with concurrent steroids, the patient died of progressive disease within 3 weeks of initial presentation.

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  • Competing interests None.

  • Patient consent Obtained.

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