Dysphagia due to diffuse idiopathic skeletal hyperostosis of the cervical spine.
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.
Solaroğlu
Ihsan
I
Ankara Ataturk Research and Education Hospital, Department of Neurosurgery, Ankara, Turkey. isolaroglu@hotmail.com
Okutan
Ozerk
O
Karakuş
Mustafa
M
Saygili
Bariş
B
Beşkonakli
Ethem
E
D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D002574:Cervical Vertebrae / Q000473:pathology* / Q000601:surgery; D003680:Deglutition Disorders / Q000209:etiology*; D005260:Female; D006801:Humans; D004057:Hyperostosis, Diffuse Idiopathic Skeletal / Q000150:complications* / Q000473:pathology*; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D019635:Neurosurgical Procedures; D013122:Spinal Diseases / Q000150:complications* / Q000473:pathology* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D000894:Anti-Inflammatory Agents, Non-Steroidal