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Related Experiment Videos

Spinal cord and cauda equina compression in 'DISH'.

R R Sharma1, A Mahapatra, S J Pawar

  • 1Department of Neurosurgery, The National Neurosurgical Centre, Khoula Hospital, Mina-Al-Fahal, Muscat, Sultanate of Oman.

Neurology India
|July 12, 2001
PubMed
Summary
This summary is machine-generated.

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Diffuse Idiopathic Skeletal Hyperostosis (DISH) can cause serious spinal cord compression, contrary to its benign reputation. Surgical intervention offers better outcomes for neurological complications arising from DISH-related ossification.

Area of Science:

  • Orthopedics
  • Neurosurgery
  • Rheumatology

Background:

  • Diffuse Idiopathic Skeletal Hyperostosis (DISH) is often considered asymptomatic.
  • Limited data exists on DISH's potential for severe clinical manifestations.

Purpose of the Study:

  • To evaluate the clinical course and outcomes of patients with Diffuse Idiopathic Skeletal Hyperostosis (DISH).
  • To investigate the association between DISH and neurological deficits.

Main Methods:

  • Retrospective analysis of 74 cases diagnosed with DISH.
  • Review of patient records for neurological symptoms and surgical interventions.

Main Results:

  • Eleven patients (approximately 15%) experienced progressive spinal cord or cauda equina compression.

Related Experiment Videos

  • Ossified Posterior Longitudinal Ligament (OPLL) and Ossified Ligamentum Flavum (OLF) were identified as causes of compression.
  • Surgically treated patients showed significantly better outcomes than conservatively managed patients.

    • Conclusions:

    • DISH is not always benign and can lead to severe neurological complications.
    • Neurosurgical intervention is often required for significant neurological deficits caused by DISH.
    • Early surgical management may improve outcomes in DISH-related spinal compression.