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Dysphagia due to cervical osteophytes.

E Yutan¹, M Daras, B S Koppel

¹Department of Neurology, Metropolitan Hospital, New York Medical College, New York, NY, USA.

Clinical Imaging

|September 22, 2001

Summary

Large anterior cervical osteophytes caused painless dysphagia and noisy swallowing in a 64-year-old man. Imaging confirmed the bone spurs as the cause, supported by a literature review.

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Area of Science:

Otolaryngology
Orthopedic Surgery
Radiology

Background:

Dysphagia and odynophagia can significantly impact quality of life.
Cervical osteophytes are bony outgrowths from the cervical vertebrae.
Large osteophytes can impinge on the pharyngeal or esophageal structures.

Observation:

A 64-year-old male presented with painless dysphagia and audible swallowing sounds.
Physical examination revealed no other significant findings.
Plain radiographs and MRI of the cervical spine were performed.

Findings:

Imaging demonstrated large anterior cervical osteophytes.
The osteophytes were causing significant mass effect on the pharynx/esophagus.
A literature review was conducted on similar cases.

Implications:

Anterior cervical osteophytes can be a significant cause of dysphagia.
Surgical intervention may be considered for symptomatic large osteophytes.
Accurate diagnosis relies on detailed imaging and clinical correlation.

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