Progressive dysphagia and neck pain due to diffuse idiopathic skeletal hyperostosis of the cervical spine: a case report and literature review

Chao Zhang, Dike Ruan, Qing He, Tianyong Wen, Pushan YangDepartment of Orthopedic Surgery, Navy General Hospital, Beijing, People's Republic of ChinaAbstract: Diffuse idiopathic skeletal hyperostosis (DISH) is considered an underdiagnosed and mostly asymptomatic nonprimary osteoarthritis. Th...

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Autores principales:	Zhang C, Ruan DK, He Q, Wen TY, Yang PS
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	Diffuse idiopathic skeletal hyperostosis cervical spine dysphagia Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/782bc3db47d84288a84f02b8eda43076
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spelling	oai:doaj.org-article:782bc3db47d84288a84f02b8eda430762021-12-02T04:38:52ZProgressive dysphagia and neck pain due to diffuse idiopathic skeletal hyperostosis of the cervical spine: a case report and literature review1178-1998https://doaj.org/article/782bc3db47d84288a84f02b8eda430762014-03-01T00:00:00Zhttps://www.dovepress.com/progressive-dysphagia-and-neck-pain-due-to-diffuse-idiopathic-skeletal-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Chao Zhang, Dike Ruan, Qing He, Tianyong Wen, Pushan YangDepartment of Orthopedic Surgery, Navy General Hospital, Beijing, People's Republic of ChinaAbstract: Diffuse idiopathic skeletal hyperostosis (DISH) is considered an underdiagnosed and mostly asymptomatic nonprimary osteoarthritis. The etiology of DISH remains unknown and the validated diagnostic criteria are absent. This condition is still recognized radiologically only. Rarely, large projecting anterior osteophytes result in esophageal impingement and distortion leading to dysphagia. We report the case of progressive dysphagia and neck pain due to DISH of the cervical spine in a 70-year-old man, which was surgically removed with excellent postoperative results and complete resolution of symptoms. Imaging studies, surgical findings, and histopathological examinations were used to support the diagnosis. The patient was successfully treated with total excision of the anterior osteophytes with no evidence of recurrence 12 months after surgery. In this report, we also discuss the clinical features and perioperative considerations in combination with a literature review. Our patient illustrates that clinicians should be aware of this rare clinical manifestation as the presenting feature of DISH in cervical spine. Surgical decompression through osteophytectomy is effective for patients who fail conservative treatment.Keywords: diffuse idiopathic skeletal hyperostosis, cervical spine, dysphagiaZhang CRuan DKHe QWen TYYang PSDove Medical PressarticleDiffuse idiopathic skeletal hyperostosiscervical spinedysphagiaGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 9, Pp 553-557 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diffuse idiopathic skeletal hyperostosis cervical spine dysphagia Geriatrics RC952-954.6
spellingShingle	Diffuse idiopathic skeletal hyperostosis cervical spine dysphagia Geriatrics RC952-954.6 Zhang C Ruan DK He Q Wen TY Yang PS Progressive dysphagia and neck pain due to diffuse idiopathic skeletal hyperostosis of the cervical spine: a case report and literature review
description	Chao Zhang, Dike Ruan, Qing He, Tianyong Wen, Pushan YangDepartment of Orthopedic Surgery, Navy General Hospital, Beijing, People's Republic of ChinaAbstract: Diffuse idiopathic skeletal hyperostosis (DISH) is considered an underdiagnosed and mostly asymptomatic nonprimary osteoarthritis. The etiology of DISH remains unknown and the validated diagnostic criteria are absent. This condition is still recognized radiologically only. Rarely, large projecting anterior osteophytes result in esophageal impingement and distortion leading to dysphagia. We report the case of progressive dysphagia and neck pain due to DISH of the cervical spine in a 70-year-old man, which was surgically removed with excellent postoperative results and complete resolution of symptoms. Imaging studies, surgical findings, and histopathological examinations were used to support the diagnosis. The patient was successfully treated with total excision of the anterior osteophytes with no evidence of recurrence 12 months after surgery. In this report, we also discuss the clinical features and perioperative considerations in combination with a literature review. Our patient illustrates that clinicians should be aware of this rare clinical manifestation as the presenting feature of DISH in cervical spine. Surgical decompression through osteophytectomy is effective for patients who fail conservative treatment.Keywords: diffuse idiopathic skeletal hyperostosis, cervical spine, dysphagia
format	article
author	Zhang C Ruan DK He Q Wen TY Yang PS
author_facet	Zhang C Ruan DK He Q Wen TY Yang PS
author_sort	Zhang C
title	Progressive dysphagia and neck pain due to diffuse idiopathic skeletal hyperostosis of the cervical spine: a case report and literature review
title_short	Progressive dysphagia and neck pain due to diffuse idiopathic skeletal hyperostosis of the cervical spine: a case report and literature review
title_full	Progressive dysphagia and neck pain due to diffuse idiopathic skeletal hyperostosis of the cervical spine: a case report and literature review
title_fullStr	Progressive dysphagia and neck pain due to diffuse idiopathic skeletal hyperostosis of the cervical spine: a case report and literature review
title_full_unstemmed	Progressive dysphagia and neck pain due to diffuse idiopathic skeletal hyperostosis of the cervical spine: a case report and literature review
title_sort	progressive dysphagia and neck pain due to diffuse idiopathic skeletal hyperostosis of the cervical spine: a case report and literature review
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/782bc3db47d84288a84f02b8eda43076
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Progressive dysphagia and neck pain due to diffuse idiopathic skeletal hyperostosis of the cervical spine: a case report and literature review

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