C5 palsy following esophageal diverticulum resection

Surg Neurol Int. 2024 May 10:15:157. doi: 10.25259/SNI_264_2024. eCollection 2024.

Abstract

Background: C5 palsy (C5P) is a recognized potential postoperative complication of cervical spine surgery but has rarely been reported following an open esophageal diverticulectomy.

Methods: A 61-year-old underwent an open esophageal diverticulectomy for symptomatic Zencker's diverticulum.

Results: Postoperatively, she presented with right upper extremity weakness and sensory deficits consistent with a C5P that was later confirmed by electromyography.

Conclusion: The potential for C5P after esophageal diverticulectomy for symptomatic Zencker's diverticulum is rare. Postoperative recognition and appropriate management are critical to recovery.

Keywords: C5 palsy; Cervical spine; Cervical spondylosis; Esophageal diverticulum.