• Surg Neurol Int · Jan 2020

    Case Reports

    Progressive dysphagia and dysphonia secondary to DISH-related anterior cervical osteophytes: A case report.

    • Manoj Kumar, Prem Bahadur Shahi, Nitin Adsul, Shankar Acharya, K L Kalra, and R S Chahal.
    • Department of Ortho-Spine Surgery, Sir Ganga Ram Hospital, Old Rajinder Nagar, New Delhi, Delhi, India.
    • Surg Neurol Int. 2020 Jan 1; 11: 69.

    BackgroundDysphagia due to diffuse idiopathic skeletal hyperostosis (DISH)-related anterior cervical osteophytes is not uncommon. However, this rarely leads to dysphonia and/or dysphagia along with life- threatening airway obstruction requiring emergency tracheotomy.Case DescriptionA 56-year-old male presented with progressive dysphagia and dysphonia secondary to DISH-related anterior osteophytes at the C3-C4 and C4-C5 levels. The barium swallow, X-ray, magnetic resonance imaging, and computed tomography scans confirmed the presence of DISH. Utilizing an anterior cervical approach, a large beak-like osteophyte was successfully removed, while preserving the anterior annulus. After clinic-radiological improvement, the patient was discharged with a soft cervical collar and nonsteroidal anti-inflammatory drug (NSAID).ConclusionLarge anterior osteophytes in Forestier disease/DISH may cause dysphagia and dysphonia. Direct anterior resection of these lesions yields excellent results as long as other etiologies for such symptoms have been ruled out.Copyright: © 2020 Surgical Neurology International.

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