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Aspiration pneumonia due to diffuse cervical hyperostosis.

C Warnick1, M S Sherman, R W Lesser

  • 1Department of Medicine, Hahnemann University Hospital, Philadelphia 19102-1192.

Chest
|September 1, 1990
PubMed
Summary
This summary is machine-generated.

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Diffuse idiopathic skeletal hyperostosis (DISH) can cause swallowing problems and aspiration. Extensive cervical DISH may lead to mechanical compression of the pharynx, increasing aspiration risk.

Area of Science:

  • Orthopedics
  • Gastroenterology
  • Neurology

Background:

  • Diffuse idiopathic skeletal hyperostosis (DISH) is a condition characterized by abnormal bone growth.
  • Extraspinal manifestations of DISH, such as dysphagia and cervical myelopathy, are known but less common.
  • The potential for DISH to impact the swallowing mechanism requires further investigation.

Observation:

  • A case of severe cervical DISH is presented.
  • The cervical DISH was extensive enough to impede the swallowing mechanism.
  • This extensive DISH led to aspiration in the patient.

Findings:

  • Extensive cervical DISH can significantly interfere with the normal swallowing process.
  • Mechanical compression of the posterior pharynx by cervical DISH is a key factor.

Related Experiment Videos

  • Patients with such compression are at a high risk for aspiration.

    • Implications:

    • This case highlights a critical, potentially life-threatening complication of DISH.
    • Clinicians should consider aspiration risk in patients with cervical DISH, especially with posterior pharyngeal compression.
    • Further research is warranted to understand the full spectrum of DISH-related swallowing dysfunction.