Neck pain and dysphagia secondary to diffuse idiopathic skeletal hyperostosis of the cervical spine: A case report

Authors

Keywords:

Neck pain, Dysphagia, Osteophyt, Diffuse idiopathic skeletal hyperostosis

Abstract

Diffuse idiopathic skeletal hyperostosis (DISH), also known as Forestier disease is characterized by calcification and ossification of the soft tissues, mainly ligaments and entheses. DISH is a systemic non inflammatory disease of unknown cause and is considered an underdiagnosed and mostly asymptomatic nonprimary osteoarthritis. This condition is recognized radiologically only. Rarely, large projecting anterior osteophytes result in esophageal impingement and distortion leading to dysphagia. We report the case of dysphagia and neck pain due to DISH of the cervical spine in a 60 year old female. The patient came to the emergency department with neck pain and dysphagia after falling. 

Downloads

Download data is not yet available.

References

Utsinger PD. Diffuse idiopathic skeletal hyperostosis. Clin Rheum Dis. 1985;11:325-51.

Resnick D. Diagnosis of Bone and Joint Disorders. Vol. 3rd ed. Philadelphia, Penn: Saunders; 1995.

Maiuri F, Stella L, Sardo L, et al. Dysphagia and dyspnea due to an anterior cervical osteophyte. Arch Orthop Trauma Surg. 2002;122(4):245-7.

Forestier J, Rotes-Querol J. Senile ankylosing hyperostosis of the spine. Ann Rheum Dis. 1950;9(4):321-30.

Kim SK, Choi BR, Kim CG, Chung SH, Choe JY, Joo KB, et al. The prevalence of diffuse idiopathic skeletal hyperostosis in Korea. J Rheumatol. 2004;31:2032.

Weinfeld RM, Olson PN, Maki DD, Griffiths HJ. The prevalence of diffuse idiopathic skeletal hyperostosis (DISH) in two large American Midwest metropolitan hospital populations. Skeletal Radiol. 1997;26:222-5.

Alcázar L, Jerez P, Gómez-Angulo JC, et al. Forestier-Rotes-Querol's disease: Ossification of the anterior cervical longitudinal ligament as a cause of dysphagia. Neurocirugia. 2008;19(4):350-5.

Mader R, Sarzi-Puttini P, Atzeni F, et al. Extraspinal manifestations of diffuse idiopathic skeletal hyperostosis. Rheumatology. 2009;48(12):1478-81.

Verlaan JJ, Boswijk PF, de Ru JA, Dhert WJ, Oner FC. Diffuse idiopathic skeletal hyperostosis of the cervical spine: an underestimated cause of dysphagia and airway obstruction. Spine J. 2011;11:1058-67.

Seidler TO, Pèrez Alvarez JC, Wonneberger K, Hacki T. Dysphagia caused by ventral osteophytes of the cervical spine: clinical and radiographic findings. Eur Arch Otorhinolaryngol. 2009;266(2):285-91.

Verlaan JJ, Boswijk PF, de Ru JA, Dhert WJ, Oner FC. Diffuse idiopathic skeletal hyperostosis of the cervical spine: an underestimated cause of dysphagia and airway obstruction. Spine J. 2011;11(11):1058-67.

Egerter AC, Kim ES, Lee DJ, Liu JJ, Cadena G, Panchal RR, et al. Dysphagia Secondary to Anterior Osteophytes of the Cervical Spine. Global Spine J. 2015 Oct;5(5):e78-83.

Oppenlander ME, Orringer DA, La Marca F, et al. Dysphagia due to anterior cervical hyperosteophytosis. Surg Neurol. 2009;72(3):266-70.

Downloads

Published

2019-02-25

Issue

Section

Case Report

How to Cite

1.
Erdem Sultanoğlu T, Sultanoğlu H. Neck pain and dysphagia secondary to diffuse idiopathic skeletal hyperostosis of the cervical spine: A case report. J Surg Med [Internet]. 2019 Feb. 25 [cited 2024 Nov. 21];3(2):187-8. Available from: https://jsurgmed.com/article/view/467092