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[Dysphagia: a neurosurgical indication for an operation?]
M Scholz1, B Luka, R Firsching
1Neurochirurgische Klinik, Ruhr-Universität Bochum.
Zentralblatt Fur Neurochirurgie
|January 1, 1995
Summary
Ventral osteophytes in the cervical spine can cause dysphagia. Surgical resection of a C5/6 osteophyte successfully resolved swallowing difficulties in a 67-year-old man.
Area of Science:
- Medicine
- Surgery
- Radiology
Background:
- Cervical spine osteophytes can rarely cause dysphagia.
- This case highlights a ventral osteophyte at C5/6 leading to swallowing issues.
Observation:
- A 67-year-old male presented with a three-year history of dysphagia.
- Diagnostic imaging included X-rays, CT scan, barium swallow, and barium ball examination.
Findings:
- Dynamic barium ball examination was crucial for operative indication, clearly showing esophageal obstruction.
- Surgical resection of the ventral osteophyte via a ventral approach was performed.
Implications:
- Complete resolution of dysphagia post-surgery indicates the efficacy of osteophyte resection.
- This case underscores the importance of considering cervical osteophytes in dysphagia differential diagnosis.