[A case of Forestier's disease causing dysphagia].
A case of Forestier's disease causing dysphagia is reported. A 52-year-old man was admitted to our hospital because of dysphagia, hoarseness and constant urge to clear the throat. On admission, physical examination revealed a hard mass between the larynx and left sternocleidomastoid muscle. Deep tendon reflexes were all hyperactive and Hoffmann's sign was elicited on the right side. Cervical roentogenogram showed extensive anterior excrescences from C-2 to C-7 vertebra with preservation of the relatively normal intervertebral disc space. CT scan of the cervical spine showed anterolateral displacement of the trachea by the anterior excrescences of the cervical vertebrae and narrow flat spinal canal. Esophagram showed marked right lateral displacement of the esophagus by the cervical osteophytes. Myelogram revealed a narrow canal and anterior filling defects by the posterior osteophytes at C3/4 and C6/7. Technetium 99m bone scintigram disclosed abnormal uptake in the cervical and thoracic spines. The patient underwent anterior cervical exploration for removal of the exostotic bone from C-3 to C-7 and decompression of the esophagus and trachea. Postoperative course was uneventful and all of his preoperative symptoms improved remarkably. Pertinent literature were reviewed and pathogenesis of Forestier's disease was discussed.
D003680:Deglutition Disorders / Q000209:etiology*; D006801:Humans; D004057:Hyperostosis, Diffuse Idiopathic Skeletal / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011859:Radiography; D013128:Spinal Osteophytosis / Q000150:complications*