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Diffuse idiopathic skeletal hyperostosis with dysphagia

A review

Published online by Cambridge University Press:  29 June 2007

E. Eviatar  and
M. Harell
E. Eviatar
Affiliation:
Holon, Israel
M. Harell*
Affiliation:
Holon, Israel
*
M. Harell, M.D., Head, Department of Otolaryngology, The Edith Wolfson Hospital, Holon 58100, Israel.
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Abstract

Dysphagia due to cervical osteophytes is not common. However, diffuse idiopathic skeletal hyperostosis (DISH) with cervical involvement which causes dysphagia is even rarer. The otolaryngologist is not generally familiar with this entity. The diagnosis can be made by plain cervical X-ray films, a barium swallowing esophagogram and or a CT scan of the neck. When doubt still exists, further extra-axial X-ray films can be helpful. Although most patients have been treated surgically, there may be a role for conservative therapy initially, as surgery in elderly DISH patients is often morbid and even fatal.

A 79-year-old patient with DISH (Forestier's disease) is reported. Non-steroidal antiinflammatory therapy was successfully implemented. DISH is compared with other disorders of the cervical spine which may cause dysphagia.

Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 101 , Issue 6 , June 1987 , pp. 627 - 632
Copyright
Copyright © JLO (1984) Limited 1987

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