scholarly journals An unusual cause of dysphagia in elderly, dysphagia caused by cervical osteophytes: a case report and review of literature

Author(s):  
Uday Kiran Katari

<p class="abstract">Dysphagia may occur in various pathological, inflammatory diseases of esophagus. It may also occur due to motility disorders of esophagus, benign and malignant diseases of mediastinum, cervical spine diseases. Dysphagia secondary to compression of esophagus by a cervical osteophyte is rare. The most common causes of osteophyte (bony outgrowth) in the cervical spine are diffuse idiopathic skeletal hyperostosis (DISH), ankylosing spondylitis (AS), and cervical spondylosis. Patients with cervical osteophytes are mostly asymptomatic. Hence, when considering cervical osteophytes as a cause of dysphagia other pathologic entities in the esophagus (e.g. tumors, webs, rings, strictures) should be excluded. We present a 68 year female patient who presented with complaints of dysphagia and neck stiffness since 3 months. She has been evaluated and found that dysphagia is due to large anterior cervical osteophytes compressing pharynx at C2/C3 and esophagus at C5/C6 and C6/C7 vertebral levels respectively. The objective of this case report is to emphasize the importance of anterior cervical osteophyte as a cause of dysphagia in elderly.</p>

2012 ◽  
Vol 3 (3) ◽  
pp. 168-171
Author(s):  
Prashanth Veerabhadraiah ◽  
Vishal Rao ◽  
Raghavendra Shankar ◽  
Naveen Shivappa ◽  
TM Nagaraj

ABSTRACT Large anterior cervical osteophytes can occur in degeneration of the cervical spine, cervical spondylosis or in diffuse idiopathic skeletal hyperostosis (DISH). Voluminous anterior cervical osteophytes which can develop from C3 to C7 can cause narrowing of the pharyngoesophageal segment by external compression and may cause dysphagia, which may be life threatening when it is associated with aspiration and or dyspnea. The objective of this case report is to highlight how commonly occurring anterior cervical osteophytes may become an unrecognized cause for life-threatening dysphagia. The clinical and radiographic findings in patient with dysphagia and ventral osteophytes of the cervical spine due to degeneration are demonstrated. The anterolateral approach for removal of these osteophytes is described. How to cite this article Veerabhadraiah P, Rao V, Shankar R, Shivappa N, Kumar P, Nagaraj TM. Dysphagia caused by Anterior Cervical Osteophyte: A Rare Entity Revisited. Int J Head and Neck Surg 2012;3(3):168-171.


Cases Journal ◽  
2009 ◽  
Vol 2 (1) ◽  
Author(s):  
Dimitrios S Evangelopoulos ◽  
Panagiotis Kontovazenitis ◽  
Konstantinos Kokkinis ◽  
Nikolaos Efstathopoulos ◽  
Dimitrios Korres

2020 ◽  
Vol 21 ◽  
pp. 100779
Author(s):  
Amer Hashim Al Ani ◽  
Majd Al Deen Alhuarrat ◽  
Mohammad Adnan Al kasabreh ◽  
Saabh Ismail Khalil

2015 ◽  
Vol 2 (2) ◽  
pp. 52-54
Author(s):  
Vikas Naik ◽  
GC Keshav ◽  
SA Santhosh Kumar ◽  
Sanjeev Balaji Pai

2020 ◽  
Vol 8 (7) ◽  
pp. 3877-3885
Author(s):  
Sreejith. J. R ◽  
Vikram Kumar

Greeva Hundanam is a condition in which vitiated Vata lodges in the neck region and leads to stiffness of the neck with signs and symptoms of vitiation of Vata. The word Greeva means neck. The word Hun-danam conveys two meanings. The first one is “Shiro Prabhrutinam Antah Pravesha”. It means inward intrusion of the head and its allied parts. It is possible due to implication with cervical parts. Structural de-formity is also a suggestive condition. The other meaning is “Greeva Stambha”, which denotes the re-striction of the movements of the neck. Cervical Spondylosis is the degenerative condition of the cervical spine with signs and symptoms like neck pain, numbness, muscle spasm, neck stiffness, restricted range of movements of neck etc. Signs and symptoms of Greeva Hundanam resembles with that of Cervical Spon-dylosis. So, both Clinical Conditions can be compared with each other. Tila Taila is having Vatahara prop-erty used in treating Vatavyadhi. Also, in the previous study it has been reported that Tila Taila used in Greeva Basti was beneficial in reducing the signs and symptoms of Greeva Hundanam. So, in this study an attempt was done to evaluate and compare the effect of Greeva Basti and its modified schedule in Greeva Hundanam with Tila Taila.


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