Dysphagia due to diffuse idiopathic skeletal hyperostosis: an analysis of five cases.
We report five cases of dysphagia caused by diffuse idiopathic skeletal hyperostosis or Forestier's disease of the cervical spine observed by clinical evaluations, X-ray and videofluoroscopy. Dysphagia in particular was present for solid foods in all patients. Three patients showed bolus aspiration into the airways, mainly in the post-swallowing phase and one patient with preserved epiglottic tilt showed post-swallowing penetration. The physiopathogenetic mechanisms affecting swallowing dynamics were mechanical compression of the pharyngeal lumen associated with abnormal epiglottic tilt, incomplete upper esophageal sphincter openings and epiglottic/vallecula stasis. According to our results we can hypothesize that these kinetic alterations may due to Forestier's disease.
Masiero
Stefano
S
Department of Rehabilitation Medicine, University of Padua, Via Giustiniani 1, 35128, Padua, Italy. stef.masiero@unipd.it
Padoan
Elena
E
Bazzi
Massimo
M
Ponzoni
Alessandro
A
D000368:Aged; D000369:Aged, 80 and over; D003287:Contrast Media; D003679:Deglutition; D003680:Deglutition Disorders / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology; D004825:Epiglottis / Q000503:physiopathology; D049631:Esophageal Sphincter, Upper / Q000503:physiopathology; D005471:Fluoroscopy; D006801:Humans; D004057:Hyperostosis, Diffuse Idiopathic Skeletal / Q000150:complications* / Q000000981:diagnostic imaging / Q000503:physiopathology; D008297:Male; D010614:Pharynx / Q000503:physiopathology; D014741:Video Recording
D003287:Contrast Media