• Ned Tijdschr Geneeskd · Apr 2020

    Case Reports

    [Dysphagia caused by osteophytes of the cervical spine].

    • Niek Te Hennepe, Hosman Allard J F AJF Radboudumc, afd. Orthopedie, Nijmegen., and Martin H Pouw.
    • Radboudumc, afd. Orthopedie, Nijmegen.
    • Ned Tijdschr Geneeskd. 2020 Apr 30; 164.

    BackgroundDiffuse idiopathic skeletal hyperostosis (DISH) is a systemic condition characterised by ossification of the ligaments around the spinal column due to unknown aetiology. This is often asymptomatic, but it can cause dysphagia in rare cases.Case DescriptionA 64-year-old man was referred to the ENT department with progressive dysphagia symptoms he had had for years. Extensive analysis by the ENT specialist did not reveal any abnormalities of the swallowing motor functions. However, osteophytes of the cervical spine of the patient were visible in the X-ray of the cervical spine. The patient was referred to an orthopaedic surgeon. The osteophytes were surgically removed from the cervical spine using a ventral approach. Immediately after the surgery, the patient no longer had problems swallowing.ConclusionIn rare cases, dysphagia can be caused by osteophytes of the cervical spine in patients with DISH. Surgical removal of these osteophytes usually has good results.

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