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[A case of diffuse idiopathic skeletal hyperostosis (DISH) causing dysphagia]
1Department of Neurosurgery, Ushioda General Hospital.
No Shinkei Geka. Neurological Surgery
|June 1, 1993
Summary
Diffuse idiopathic skeletal hyperostosis (DISH) can cause dysphagia due to spinal ossification. This case highlights DISH
Area of Science:
- Orthopedics
- Neurology
- Gastroenterology
Background:
- Diffuse idiopathic skeletal hyperostosis (DISH) is a non-inflammatory skeletal disorder.
- It is characterized by flowing ossification along the anterolateral aspects of the spine.
Observation:
- A 62-year-old male presented with neck pain and dysphagia.
- Cervical spine imaging revealed "flowing" ossification from C4-C6.
- Esophagraphy showed esophageal compression due to this ossification.
Findings:
- Radiographic findings were characteristic of DISH, including anterior bony bridges and prediscal ossicles in the thoracic and lumbar spine.
- The cervical ossification significantly compressed the esophagus, leading to dysphagia.
Implications:
- Recognizing DISH is crucial for neurosurgical clinics, as it can present with unusual symptoms like dysphagia.
- This case underscores the importance of comprehensive spinal imaging in patients with unexplained neck pain and swallowing difficulties.
- Early diagnosis and management can prevent complications associated with esophageal compression.