Dysphagia due to DISH-related anterior osteophytes: DISHphagia!!

Description

Anterior cervical osteophytes are commonly associated with degenerative spine in elderly people. The complications that arise due to the mechanical compression of cervical osteophytes are dysphagia, dysphonia and dyspnoea. The usual causes are osteoarthritis, ankylosing spondylitis and diffuse idiopathic spinal hyperostosis (DISH). Other causes are trauma, acromegaly, ochronosis, fluorosis and hypoparathyroidism.1 Surgical resection of osteophytes results in excellent relief of symptoms, but patients have a tendency for recurrence of osteophytes.2 We present here a case of dysphagia and dysphonia due to osteophyte recurrence in a postsurgical case of DISH.

A 63-year-old man was admitted with progressive dysphagia, hoarseness of voice and neck pain for 3 months. His history began with neck and right arm pain 2 years back for which he consulted a spine surgeon, where he was diagnosed with C5–C6 herniated cervical disc causing root compression because of underlying DISH. His chief...

http://ift.tt/2yqHvh8