CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2009; 19(02): 132-134
DOI: 10.4103/0971-3026.50831
Head & Neck Radiology

DISH of the cervical spine causing epiglottis impingement

Tommaso Bartalena
Department of Radiology, S. Orsola University Hospital - via Massarenti 9, 40138, Bologna, Italy
,
Francesco Buia
Department of Radiology, S. Orsola University Hospital - via Massarenti 9, 40138, Bologna, Italy
,
Alberto Borgonovi
Department of Radiology, S. Orsola University Hospital - via Massarenti 9, 40138, Bologna, Italy
,
Maria Francesca Rinaldi
Department of Radiology, S. Orsola University Hospital - via Massarenti 9, 40138, Bologna, Italy
,
Cecilia Modolon
Department of Radiology, S. Orsola University Hospital - via Massarenti 9, 40138, Bologna, Italy
,
Francesco Bassi
Department of Radiology, S. Orsola University Hospital - via Massarenti 9, 40138, Bologna, Italy
› Author Affiliations

Abstract

Diffuse idiopathic skeletal hyperostosis (DISH) is a condition characterized by calcification and ossification of ligaments and entheses; it mainly affects the vertebral column. We report the case of a patient with pharyngeal dysphagia and episodic aspiration secondary to DISH involvement of the cervical spine, which had caused alteration in the epiglottic tilt mechanism during deglutition.



Publication History

Article published online:
31 July 2021

© 2009. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 
  • References

  • 1 Forestier J, Rotes-Querol J. Senile ankylosing hyperostosis of the spine. Ann Rheum Dis 1950;9:321-30.
  • 2 Resnick D. Degenerative Diseases of the Vertebral Column. Radiology 1985;156:3-14.
  • 3 Weinfeld RM, Olson PN, Maki DD, Griffiths HJ. The prevalence of diffuse idiopathic skeletal hyperostosis (DISH) in two large American Midwest metropolitan hospital populations. Skeletal Radiol 1997;26:222-5.
  • 4 Utsinger PD. Diffuse idiopathic skeletal hyperostosis. Clin Rheum Dis 1985;11:325-51.
  • 5 Cammisa M, De Serio A, Guglielmi G. Diffuse idiopathic skeletal hyperostosis. Eur J Radiol 1998;27:S7-11.
  • 6 Resnick D, Niwayama G. Radiographic and pathologic features of spinal involvement in diffuse idiopathic skeletal hyperostosis (DISH). Radiology 1976;119:559-68.
  • 7 Nelson RS, Urquhart AC, Faciszewski T. Diffuse Idiopathic Skeletal Hyperostosis: A Rare Cause of Dysphagia, Airway Obstruction, and Dysphonia. J Am Coll Surg 2006;202:938-42.
  • 8 Giger R, Dulguerov P, Payer M. Anterior Cervical Osteophytes Causing Dysphagia and Dyspnea: An Uncommon Entity Revisited. Dysphagia 2006:21;259-63.
  • 9 McAfee PC, Regan JJ, Bohlman HH. Cervical cord compression from ossification of the posterior longitudinal ligament in non orientals. J Bone Joint Surg Br 1987;69:569-75.
  • 10 Mader R. Clinical Manifestations of Diffuse Idiopathic Skeletal Hyperostosis of the Cervical Spine. Semin Arthritis Rheum 2002;32:130-5.
  • 11 Aydin E, Akdogan V, Akkuzu B, Kirba? I, Ozgirgin ON. Six cases of Forestier syndrome, a rare cause of dysphagia. Acta Otolaryngol 2006;126:775-8.
  • 12 Jones B, Donner MW. Normal and Abnormal Swallowing. Imaging in Diagnosis and Therapy. New-York, NY: Springer Verlag; 1991.
  • 13 Uppal S, Wheatley AH. Transpharyngeal approach for the treatment of dysphagia due to Forestier′s disease. J Laryngol Otol 1999;113:366-8
  • 14 McCafferty RR, Harrison MJ, Tamas LB, Larkins MV. Ossification of the anterior longitudinal ligament and Forestier′s disease: An analysis of seven cases. J Neurosurg 1995;83:13-7.