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KMID : 0388720060130040327
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Journal of Korean Society of Spine Surgery
2006 Volume.13 No. 4 p.327 ~ p.331
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Diffuse Idiopathic Skeletal Hyperostosis Associated with Dysphonia and Dysphagia: A Case Report
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Ahn Young-Joon
Hahn Sung-Ho
Yang Bo-Kyu
Yi Seung-Rim
Yoo Jae-Ho
Youn Dong-Jin
Kim Seong-Wan
Chung Byung-June
Zoo Min-Hong
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Abstract
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We encountered a rare case of diffuse idiopathic skeletal hyperostosis (DISH) associated with dysphonia and dysphagia. An 80 year-old man developed progressive dysphonia and dysphagia. The radiology study, esophagogram and nasopharyngoscopic exam revealed the esophagus and the posterior wall of the nasopharynx to be severely compressed by the unfused osteophyte of the 3rd and 4th cervical intervertebral space. It was thought that the osteophyte formation was caused by not merely DISH but degenerative changes due to a concentration of stress around the unfused hyperostosis. A resection of the osteophyte was performed, which resolved the clinical symptoms. The follow-up radiology study, esophagogram and nasopharyngoscopic exam showed that the osteophyte had disappeared.
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KEYWORD
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DISH, Cervical spine, Anterior degenerative osterophyte, Dysphonia Dysphagia
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