Diffuse idiopathic skeletal hyperostosis: complexity of diagnosis in a patient with dysphagia and dyspnea

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Abstract

In the article a rare clinical observation of a patient with diffuse idiopathic skeletal hyperostosis with damage to the cervical spine and pronounced dysphagia and dyspnea is presented. The described case vividly demonstrates difficulties in diagnosis and treatment tactics of this disease and raises the question of necessity of diagnostic alertness to the diffuse idiopathic skeletal hyperostosis in patients with progressive dysphagia and dyspnea, not only in those of aged and old age, but also in younger patients (the age of described patient was 56 years, while in 95% of cases described in the international literature, patients were above 60).

About the authors

Nikita V. Loginov

State budget health care institution - Moscow region Kolomna Central District Hospital
 

Author for correspondence.
Email: Nikit.log@yandex.ru
ORCID iD: 0000-0003-1336-9459
ResearcherId: U-6229-2018

Neurosurgeon of Neurosurgery Department

Russian Federation, 318, Oktyabrskoy revolyucii str., Moscow region, Kolomna, 140407

References

  1. Forestier J, Rotes-Querol J. Senile Ankylosing Hyperostosis of the Spine. Annals of the Rheumatic Diseases. 1950;9:321-30. doi: 10.1136/ard.9.4.321
  2. Resnick D, Niwayama G. Radiographic and pathologic features of spinal involvement in diffuse idiopathic skeletal hyperostosis (DISH). Radiology. 1976;119(3):559-68. doi: 10.1148/119.3.559
  3. Mader R, Lavi I. Diabetes mellitus and hypertension as risk factors for early diffuse idiopathic skeletal hyperostosis (DISH). Osteoarthritis and Cartilage. 2009;17(6):825-8. doi: 10.1016/j.joca. 2008.12.004
  4. Akune T, Ogata N, Seichi A, et al. Insulin Secretory Response Is Positively Associated With the Extent of Ossification of the Posterior Longitudinal Ligament of the Spine. Journal of Bone and Joint Surgery – American. 2001;83(10):1537-44. doi:10. 2106/00004623-200110000-00013
  5. Verlaan JJ, Boswijk PF, de Ru JA, et al. Diffuse idiopathic skeletal hyperostosis of the cervical spine: an underestimated cause of dysphagia and airway obstruction. The Spine Journal. 2011;11: 1058-67. doi: 10.1016/j.spinee.2011.09.014
  6. Castellano DM, Sinacori JT, Karakla DW. Stridor and Dysphagia in Diffuse Idiopathic Skeletal Hyperostosis (DISH). Laryngoscope. 2006;116(2): 341-4. doi: 10.1097/01.mlg.0000197936.48414.fa
  7. Oppenlander ME, Orringer DA, La Marca F, et al. Dysphagia due to anterior cervical hyperosteophytosis. Surgical Neurology. 2009;72(3):266-70. doi:10. 1016/j.surneu.2008.08.081
  8. Dutta S, Biswas KD, Mukherjee A, et al. Dysphagia Due to Forestier Disease: Three Cases and Systematic Literature Review. Indian Journal of Otolaryngology and Head & Neck Surgery. 2014; 66(Suppl 1):379-84. doi: 10.1136/ard.9.4.321

Supplementary files

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2. Fig. 1. X-ray of the cervical section of the spine in the lateral projection

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3. Fig. 2. Condition of the patient at the time of discharge

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Copyright (c) 2018 Loginov N.V.

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