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[Diffuse idiopathic skeletal hyperostosis (DISH). Report of one case]
Cristian Valdez1, Adriano Valdez2
1Hospital Metropolitano de Santiago, República Dominicana.
Revista Medica De Chile
|March 9, 2019
Summary
Diffuse Idiopathic Skeletal Hyperostosis (DISH), or Forestier Disease, involves spinal ossification. This case highlights conservative management for cervical DISH without clinical deterioration over six years.
Area of Science:
- Orthopedics
- Rheumatology
- Radiology
Background:
- Diffuse Idiopathic Skeletal Hyperostosis (DISH), also known as Forestier Disease, is characterized by ossification of the anterior longitudinal ligament.
- Cervical spine involvement can lead to symptoms like dysphagia, dysphonia, and dyspnea.
- While typically benign, progressive cases may necessitate surgical intervention.
Observation:
- A 72-year-old male presented with chronic cervical pain and stiffness.
- Imaging revealed significant ossification of the anterior longitudinal ligament from C2 to C7.
- The patient had a history of chronic cervical pain and slight neck stiffness.
Findings:
- Conservative management was initiated for the patient's cervical spine DISH.
- No clinical deterioration was observed during a six-year follow-up period.
- Exuberant ossification of the anterior longitudinal ligament was noted on imaging.
Implications:
- This case suggests that conservative management may be a viable option for select patients with cervical DISH.
- Long-term follow-up is crucial for monitoring disease progression and patient outcomes.
- Understanding the natural history of DISH is important for guiding treatment decisions.
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