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Adapting Human Videofluoroscopic Swallow Study Methods to Detect and Characterize Dysphagia in Murine Disease Models
Published on: March 1, 2015
[Dysphagia: Forestier and Rotes Querol disease].
M A Cruz-Ruiz1, M López-Saúz, J L Padierna-Luna
1Gastroenterólogo, Adscritos al Hospital General de zona 4, Coordinación de Educación en Salud, IMSS Celaya, Guanajuato, Mexico. a4611563116@prodigy.net.mx
Revista De Gastroenterologia De Mexico
|August 13, 2009
Summary
Cervical osteophytes, a common cause of dysphagia in patients over 50, are often missed by standard imaging. This case highlights Forestier
Area of Science:
- Degenerative spine conditions
- Gastroenterology
- Neurology
Background:
- Dysphagia (difficulty swallowing) affects up to 38% of patients over 50.
- Cervical osteophytes are frequently implicated but often undiagnosed.
- Forestier's disease (Diffuse Idiopathic Skeletal Hyperostosis) involves spinal osteophyte formation and ligament ossification.
Observation:
- A 78-year-old patient presented with progressive dysphagia, choking, and weight loss.
- Radiological imaging revealed cervical osteophytes, spondylolisthesis, cervical lordosis straightening, and reduced intersomatic spaces.
- Endoscopy confirmed extrinsic compression below the cricopharyngeal region.
Findings:
- Cervical osteophytes and associated spinal changes significantly compressed the trachea and airway.
- The observed compression directly correlated with the patient's dysphagia and choking symptoms.
- Forestier's disease was the underlying cause of the cervical structural abnormalities.
Implications:
- Highlights the diagnostic challenges of cervical osteophytes causing dysphagia.
- Emphasizes the need for thorough radiological and endoscopic evaluation in suspected cases.
- Suggests Forestier's disease as a critical differential diagnosis for unexplained dysphagia and airway compromise.
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