Diffuse Idiopathic Skeletal Hyperostosis Associated with Dysphonia and Dysphagia: A Case Report.
10.4184/jkss.2006.13.4.327
- Author:
Young Joon AHN
1
;
Sung Ho HAHN
;
Bo Kyu YANG
;
Seung Rim YI
;
Jae Ho YOO
;
Dong Jin YOON
;
Byung June CHUNG
;
Min Hong ZOO
;
Seong Wan KIM
Author Information
1. Department of Orthopaedic Surgery, National Police Hospital, Seoul, Korea. hsh@nph.go.kr
- Publication Type:Case Report
- Keywords:
DISH;
Cervical spine;
Anterior degenerative osteophyte;
Dysphonia;
Dysphagia
- MeSH:
Aged, 80 and over;
Deglutition Disorders*;
Dysphonia*;
Esophagus;
Follow-Up Studies;
Humans;
Hyperostosis;
Hyperostosis, Diffuse Idiopathic Skeletal*;
Nasopharynx;
Osteophyte
- From:Journal of Korean Society of Spine Surgery
2006;13(4):327-331
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We encountered a rare case of diffuse idiopathic skeletal hyperostosis (DISH) associated with dysphonia and dysphagia. An 80 year-old man developed progressive dysphonia and dysphagia. The radiology study, esophagogram and nasopharyngoscopic exam revealed the esophagus and the posterior wall of the nasopharynx to be severely compressed by the unfused osteophyte of the 3rd and 4th cervical intervertebral space. It was thought that the osteophyte formation was caused by not merely DISH but degenerative changes due to a concentration of stress around the unfused hyperostosis. A resection of the osteophyte was performed, which resolved the clinical symptoms. The follow-up radiology study, esophagogram and nasopharyngoscopic exam showed that the osteophyte had disappeared.
