Korean J Otolaryngol-Head Neck Surg.  1998 Nov;41(11):1493-1496.

A Case of Diffuse Idiopathic Skeletal Hyperostosis with Dysphagia

Affiliations
  • 1Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Sungkyunkwan University,Samsung Medical Center, Seoul, Korea. chbaek@smc.samsung.co.kr

Abstract

Diffuse idiopathic skeletal hyperostosis (DISH) is an idiopathic, ossifying diathesis characterized by ossification and thickening at the site of attachment of a ligament or tendon to bone. Although DISH generally affects the lumbar spine, any segment of the spine may be involved. When cervical spine is affected, the extensive cervical spine osteophytes may produce dysphagia and laryngeal symptoms such as hoarseness, dysphonia, and dyspnea etc. We report a DISH patient with dysphagia as a presenting complaint. Plain radiographs and modified barium swallow (MBS) study demonstrated narrowing of esophagus due to severe cervical vertebral osteophytes. Anterior cervical decompression relieved dysphagia and restored esophageal function without major complications.

Keyword

DISH; Dysphagia; Modified barium swallow study

MeSH Terms

Barium
Decompression
Deglutition Disorders*
Disease Susceptibility
Dysphonia
Dyspnea
Esophagus
Hoarseness
Humans
Hyperostosis, Diffuse Idiopathic Skeletal*
Ligaments
Osteophyte
Spine
Tendons
Barium
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