Dysphagia due to diffuse idiopathic skeletal hyperostosis of the cervical spine.

Abstract

Diffuse idiopathic skeletal hyperostosis (DISH) or Forestier's disease is a common disorder of unknown etiology that is characterized by ossification of the anterior longitudinal ligament of the spine and various extra-spinal ligaments. We present the case of a 54-year-old woman with progressive dysphagia due to DISH of the cervical spine, which is a relatively rare pathology in neurosurgical practice. The cervical osteophytes extending from C2 to C4 and external compression of the pharyngoesophageal segment by the large osteophytes were demonstrated by X-ray, magnetic resonance imaging, and computed tomography. Surgical removal of the large osteophytes and a shortterm nonsteroidal anti-inflammatory drug regimen led to the resolution of dysphagia. The clinical manifestations, diagnosis, and treatment of this unusual condition are discussed.

• Authors: Ihsan Solaroğlu, Ozerk Okutan, Mustafa Karakuş, Bariş Saygili, Ethem Beşkonakli
• Journal: Turkish neurosurgery (Turk Neurosurg) Vol. 18 Issue 4 Pg. 409-11 (Oct 2008) ISSN: 1019-5149 [Print] Turkey
• PMID: 19107690 (Publication Type: Case Reports, Journal Article)

Chemical References

• Anti-Inflammatory Agents, Non-Steroidal

Topics

• Anti-Inflammatory Agents, Non-Steroidal (therapeutic use)
• Cervical Vertebrae (pathology, surgery)
• Deglutition Disorders (etiology)
• Female
• Humans
• Hyperostosis, Diffuse Idiopathic Skeletal (complications, pathology)
• Magnetic Resonance Imaging
• Middle Aged
• Neurosurgical Procedures
• Spinal Diseases (complications, pathology, surgery)
• Tomography, X-Ray Computed
• Treatment Outcome