Diffuse Idiopathic Skeletal Hyperostosis with Cervical Vertebra Involvement: A Case Report

<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>

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Case report: dysphagia and sleep apnoea associated with cervical osteophytes due to diffuse idiopathic skeletal hyperostosis (DISH)

Journal of Neurology Neurosurgery & Psychiatry ◽

10.1136/jnnp.57.3.384 ◽

1994 ◽

Vol 57 (3) ◽

pp. 384-384 ◽

Cited By ~ 26

Author(s):

T A Hughes ◽

C M Wiles ◽

B W Lawrie ◽

A P Smith

Keyword(s):

Case Report ◽

Diffuse Idiopathic Skeletal Hyperostosis ◽

Sleep Apnoea ◽

Cervical Osteophytes

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Primary osteogenic sarcoma of the second cervical vertebra. Case report.

The Journal of Bone and Joint Surgery (American) ◽

10.2106/00004623-197961030-00032 ◽

1979 ◽

Vol 61 (3) ◽

pp. 460-462 ◽

Cited By ~ 18

Author(s):

W Mnaymneh ◽

M Brown ◽

F Tejada ◽

G Morrison

Keyword(s):

Case Report ◽

Osteogenic Sarcoma ◽

Cervical Vertebra

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Dysphagia caused by Anterior Cervical Osteophyte: A Rare Entity Revisited

International Journal of Head and Neck Surgery ◽

10.5005/jp-journals-10001-1121 ◽

2012 ◽

Vol 3 (3) ◽

pp. 168-171

Author(s):

Prashanth Veerabhadraiah ◽

Vishal Rao ◽

Raghavendra Shankar ◽

Naveen Shivappa ◽

TM Nagaraj

Keyword(s):

Case Report ◽

Cervical Spine ◽

Cervical Spondylosis ◽

Diffuse Idiopathic Skeletal Hyperostosis ◽

Anterolateral Approach ◽

Rare Entity ◽

External Compression ◽

Radiographic Findings ◽

Cervical Osteophytes ◽

Life Threatening

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.

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An Unusual cause of Acute Hypercapneic Respiratory Failure

Clinical Medicine Insights Circulatory Respiratory and Pulmonary Medicine ◽

10.4137/ccrpm.s7687 ◽

2011 ◽

Vol 5 ◽

pp. CCRPM.S7687

Author(s):

Janice Wang ◽

Astha Chichra ◽

Seth Koenig

Keyword(s):

Case Report ◽

Respiratory Failure ◽

Diagnostic Imaging ◽

Airway Obstruction ◽

Pulmonary Disease ◽

Diffuse Idiopathic Skeletal Hyperostosis ◽

Upper Airway ◽

Upper Airway Obstruction ◽

Progressive Dyspnea

We present a rare cause of hypercapneic respiratory failure through this case report of a 72-year-old man presenting with progressive dyspnea and dysphagia over two years. Hypercapneic respiratory failure was acute on chronic in nature without an obvious etiology. Extensive workup for intrinsic pulmonary disease and neurologic causes were negative. Laryngoscopy and diagnostic imaging confirmed the diagnosis of diffuse idiopathic skeletal hyperostosis, also known as DISH, as the cause of upper airway obstruction leading to hypercapneic respiratory failure.

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Metastatic Meningioma to Cervical Vertebra: Case Report

Neurosurgery ◽

10.1227/00006123-198507000-00013 ◽

1985 ◽

Vol 17 (1) ◽

pp. 75-79 ◽

Cited By ~ 10

Author(s):

Julian K. Wu ◽

David L. Kasdon ◽

Erika L. Whitmore

Keyword(s):

Case Report ◽

Cervical Vertebra ◽

Angioblastic Meningioma

Abstract A case of recurrent occipital angioblastic meningioma metastasizing to the cervical vertebra is reported. The epidemiology and modes of metastasis are discussed.

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