Diffuse Idiopathic Skeletal Hyperostosis (DISH): Forestier's Disease with Extraspinal Manifestations

Radiology ◽  
1975 ◽  
Vol 115 (3) ◽  
pp. 513-524 ◽  
Author(s):  
Donald Resnick ◽  
Stephen R. Shaul ◽  
Jon M. Robins
Keyword(s):  
Diffuse Idiopathic Skeletal Hyperostosis ◽  
Forestier’S Disease ◽  
Forestier's Disease

scholarly journals Combination of Forestier’s disease and laryngeal cancer: a rare clinical case

2020 ◽  
Vol 10 (2) ◽  
pp. 79-84
Author(s):  
А. М. Zaytsev ◽  
А. P. Polyakov ◽  
М. V. Ratushny ◽  
Т. М. Kobyletskaya ◽  
S. А. Kisariev ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Laryngeal Cancer ◽  
Vocal Fold ◽  
Clinical Case ◽  
Anterior Commissure ◽  
Diffuse Idiopathic Skeletal Hyperostosis ◽  
Movement Restriction ◽  
Forestier’S Disease ◽  
Swallowing Difficulties ◽  
Forestier's Disease

The objective of the scientific report is to describe a rare clinical case of a combination of Forestier’s disease (diffuse idiopathic skeletal hyperostosis) and laryngeal cancer that have common symptoms. Case report. A 68-year-old male patient presented with hoarseness lasting for a year. Indirect laryngoscopy revealed a vocal fold tumor. Histological examination confirmed well-differentiated keratinizing squamous cell carcinoma of the larynx. A 6-cm tumor was located in the projection of the right vocal fold and had no signs of invasion into the supraglottis, subglottis, and anterior commissure. No other focal disorders were detected. The patient has undergone endolaryngeal laser resection of the larynx and tracheostomy. After probe removal, the patient had swallowing difficulties with esophageal content passing to the trachea mainly due to organic changes in the cervical spine at the СЗ–С4 level, where there was a massive local calcification of the anterior longitudinal ligament. We also noticed severe movement restriction in the cervical spine: the amplitude of movements did not exceed 10°. The formation of the C3–C4 segment was removed via ventrolateral approach. Conclusion. Dysphagia, dysphonia, and dyspnea may indicate both malignant tumor and large osteophyte causing compression of the trachea and esophagus. In this case, no symptom resolution after tumor removal led to the suspicion of a second disease, namely Forestier’s disease.

Dysphonia Caused by Forestier's Disease

1988 ◽  
Vol 97 (3) ◽  
pp. 275-276 ◽  
Author(s):  
Isaac Gay ◽  
Joseph Elidan
Keyword(s):  
Ct Scan ◽  
Vertebral Body ◽  
Diffuse Idiopathic Skeletal Hyperostosis ◽  
Mass Effect ◽  
Forestier’S Disease ◽  
Bony Mass ◽  
First Time ◽  
Forestier's Disease

A case of diffuse idiopathic skeletal hyperostosis (Forestier's disease) causing dysphonia as the presenting and only symptom is reported. The dysphonia is attributed to the mass effect in the hypopharynx and the mild pressure on the larynx. The bony mass anterior to the vertebral body is demonstrated by CT scan for the first time in the literature on Forestier's disease.

Hypertrophic cervical osteophytes causing dysphagia

1980 ◽  
Vol 53 (3) ◽  
pp. 338-344 ◽  
Author(s):  
Francis W. Gamache ◽  
Rand M. Voorhies
Keyword(s):  
Diffuse Idiopathic Skeletal Hyperostosis ◽  
Esophageal Function ◽  
Content Type ◽  
Common Disorder ◽  
Forestier’S Disease ◽  
Anterior Cervical Decompression ◽  
Cervical Osteophytes ◽  
Forestier's Disease ◽  
Fine Print

✓ Problems associated with osteophytes of the spine are frequently called to the attention of the neurosurgeon. Diffuse idiopathic skeletal hyperostosis (Forestier's disease) is a common disorder of the spine; a small but important number of these patients present with spondylitic dysphagia. Anterior cervical decompression restores esophageal function. A patient with Forestier's disease is reported, and Forestier's disease is compared and contrasted with other disorders of the spine.

Pedal Manifestations of DISH

Foot & Ankle ◽  
1982 ◽  
Vol 3 (1) ◽  
pp. 12-16 ◽  
Author(s):  
Elayne K. Garber ◽  
Steve Silver
Keyword(s):  
Bone Formation ◽  
Clinical Features ◽  
Diffuse Idiopathic Skeletal Hyperostosis ◽  
Target Organ ◽  
Forestier’S Disease ◽  
Forestier's Disease

Diffuse idiopathic skeletal hyperostosis (DISH), also known as Forestier's disease, is an ossifying diathesis characterized by excessive bone formation at specific skeletal sites. The condition is best recognized for its spinal features. However, the tendency toward bone formation is often manifested in extraspinal locations, particularly the foot. The radiographical, pathological, and clinical features of the disorder are reviewed with special emphasis on the foot as a target organ. Abnormalities in the foot that suggest the diagnosis of DISH are emphasized.

Ossification of the anterior longitudinal ligament and Forestier's disease: an analysis of seven cases

1995 ◽  
Vol 83 (1) ◽  
pp. 13-17 ◽  
Author(s):  
Randall R. McCafferty ◽  
Michael J. Harrison ◽  
Laszlo B. Tamas ◽  
Mark V. Larkins
Keyword(s):  
Diffuse Idiopathic Skeletal Hyperostosis ◽  
Scar Tissue ◽  
Cord Compression ◽  
The Body ◽  
Anterior Longitudinal Ligament ◽  
Content Type ◽  
Forestier’S Disease ◽  
Cervical Osteophytes ◽  
Occult Malignancy ◽  
Forestier's Disease

✓ A retrospective review was conducted on the records and radiographs of six symptomatic patients and one asymptomatic patient with Forestier's disease. No other series of patients with this disease is found in the neurosurgical literature. Forestier's disease, also known as diffuse idiopathic skeletal hyperostosis (DISH), is an idiopathic rheumatological abnormality in which exuberant ossification occurs along ligaments throughout the body, but most notably the anterior longitudinal ligament of the spine. It affects older men predominantly; all of our patients were men older than 60 years of age. The disease is usually asymptomatic; however, dyspnea, dysphagia, spinal cord compression, and peripheral nerve entrapment have all been documented in association with the disorder. Five of the six symptomatic patients presented with dysphagia due to esophageal compression by calcified anterior longitudinal ligaments, and one patient developed recurrent spinal stenosis when scar tissue from a previous decompressive laminectomy became calcified. All patients responded well to surgery. Two of the four patients who underwent removal of cervical osteophytes required several months following surgery for the dysphagia to resolve. This would support the hypothesis that not all cases of dysphagia in Forestier's disease are due to mechanical compression. Dysphagia may result from inflammatory changes that accompany fibrosis in the wall of the esophagus or from esophageal denervation. Evaluation of dysphagia even in the presence of Forestier's disease must rule out occult malignancy. The authors' experience suggests that dysphagia in the setting of Forestier's disease is an underrecognized entity amenable to surgical intervention.

The management of dysphasia in skeletal hyperostosis

2000 ◽  
Vol 114 (2) ◽  
pp. 154-157 ◽  
Author(s):  
S. Akhtar ◽  
P. E. O’Flynn ◽  
A. Kelly ◽  
P. M. W. Valentine
Keyword(s):  
Surgical Approach ◽  
Adult Population ◽  
Diffuse Idiopathic Skeletal Hyperostosis ◽  
Food Impaction ◽  
Conservative Care ◽  
Severe Dysphagia ◽  
Forestier’S Disease ◽  
Forestier's Disease

Diffuse idiopathic skeletal hyperostosis (DISH), or Forestier’s disease, is an ossifying condition frequently encountered in otolaryngology as it affects 12–28 per cent of the adult population. This form of hyperostosis can manifest clinically with dysphagia, food impaction, hoarseness, stridor, myelopathies and other neurological problems. Judicious management of severe dysphagia proves challenging. The failure of conservative care often leaves surgery as the only option. In this report an anterolateral transcervical surgical approach to the confluent osteophytes is discussed and the value of videofluoroscopic swallow highlighted

Acute dyspnea as a manifestation of Forestier's disease. A case report.

2020 ◽  
Vol 9 (3) ◽  
Author(s):  
Jagoda Kuryłowicz ◽  
Dominik Stodulski ◽  
Ewa Garsta ◽  
Bogusław Mikaszewski
Keyword(s):  
Conservative Therapy ◽  
Diffuse Idiopathic Skeletal Hyperostosis ◽  
Acute Dyspnea ◽  
Upper Respiratory Tract ◽  
Forestier’S Disease ◽  
Thoracic Part ◽  
Vertebral Bodies ◽  
Upper Respiratory ◽  
Forestier's Disease ◽  
Anterolateral Aspect

Diffuse idiopathic skeletal hyperostosis (DISH), also known as Forestier's disease, is a noninflammatory disease and is characterized by ossification of the anterolateral aspect of vertebral bodies, mostly in thoracic part of the spine. Although, usually, DISH is asymptomatic, in rare cases osteophytes located in the cervical part of the spine can cause otolaryngological manifestations, such as dysphagia (most common), hoarseness and stridor. In differential diagnosis of upper respiratory tract symptoms, we should consider DISH. We present case of 82 years old male patient with acute dyspnea, who was diagnosed with osteophytes of C4-C7 vertebral bodies. In this case conservative therapy was not efficient, therefore successful surgical treatment was performed.

Acupuncture for Back Pain in a Patient with Forestier—s Disease (Diffuse Idiopathic Skeletal Hyperostosis/Dish)

2002 ◽  
Vol 20 (2-3) ◽  
pp. 102-104 ◽  
Author(s):  
Tim Mears
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Diffuse Idiopathic Skeletal Hyperostosis ◽  
Low Back ◽  
Forestier’S Disease ◽  
Medical Acupuncture ◽  
Forestier's Disease

Acupuncture was used to treat a 54-year-old man with low back pain and Forestier's disease. His symptoms were markedly improved with acupuncture where other treatments in the form of analgesics, non-steroidal anti-inflammatories, physiotherapy and hydrotherapy had proved ineffective. There would appear to be no cases reported in the literature where medical acupuncture has been used to treat back pain in a patient with this condition.

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