Diffuse Idiopathic Skeletal Hyperostosis (DISH)—A Rare Etiology of Dysphagia

Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders

Case Report

Abhirami Vivekanandarajah¹  Edwin Chang¹  Balakumar Krishnarasa¹  Lucinda Ripoll¹  Robert Wetz¹ 

[1] Staten Island University Hospital, Staten Island, NY, USA.;

关键词: DISH;    dysphagia;    diffuse idiopathic skeletal hyperostosis;   

DOI  :  10.4137/CMAMD.S6949

来源: Sage Journals

【 摘 要 】

A 72-year-old gentleman presented to the hospital with progressively worsening dysphagia to soft foods and liquids. He was diagnosed with severe pharyngeal dysphagia by modified barium swallow. A CT scan of the neck with IV contrast showed anterior flowing of bridging osteophytes from C3-C6, indicative of DISH, resulting in esophageal impingement. He underwent resection of the DISH segments. Following the surgery, a PEG tube for nutrition supplementation was placed. However, the PEG tube was removed after five months when the speech and swallow evaluation showed no residual dysphagia. DISH is a rare non-inflammatory condition that results in pathological ossification and calcification of the anterolateral spinal ligaments.

【 授权许可】

CC BY-NC   
© 2011 SAGE Publications.

【 图 表 】

Figure 2.

Figure 11.