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Literature DB >> 19466417

Dysphagia due to diffuse idiopathic skeletal hyperostosis: an analysis of five cases.

Stefano Masiero¹, Elena Padoan, Massimo Bazzi, Alessandro Ponzoni.

Abstract

We report five cases of dysphagia caused by diffuse idiopathic skeletal hyperostosis or Forestier's disease of the cervical spine observed by clinical evaluations, X-ray and videofluoroscopy. Dysphagia in particular was present for solid foods in all patients. Three patients showed bolus aspiration into the airways, mainly in the post-swallowing phase and one patient with preserved epiglottic tilt showed post-swallowing penetration. The physiopathogenetic mechanisms affecting swallowing dynamics were mechanical compression of the pharyngeal lumen associated with abnormal epiglottic tilt, incomplete upper esophageal sphincter openings and epiglottic/vallecula stasis. According to our results we can hypothesize that these kinetic alterations may due to Forestier's disease.

Entities: Disease Species

Mesh：

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Contrast Media

Year: 2009 PMID： 19466417 DOI： 10.1007/s00296-009-0967-7

Source DB: PubMed Journal: Rheumatol Int ISSN： 0172-8172 Impact factor: 2.631

24 in total

Review 1. Cough in motor neuron disease: a review of mechanisms.

Authors: S Hadjikoutis; C M Wiles; R Eccles
Journal: QJM Date: 1999-09

2. Clinical manifestations of diffuse idiopathic skeletal hyperostosis of the cervical spine.

Authors: Reuven Mader
Journal: Semin Arthritis Rheum Date: 2002-10 Impact factor: 5.532

3. Cervical osteophytes impinging on the pharynx: importance of size and concurrent disorders for development of aspiration.

Authors: G Strasser; W Schima; E Schober; P Pokieser; A Kaider; D M Denk
Journal: AJR Am J Roentgenol Date: 2000-02 Impact factor: 3.959

Dysphagia due to diffuse idiopathic skeletal hyperostosis: an analysis of five cases.

Review 1. Cough in motor neuron disease: a review of mechanisms.

2. Clinical manifestations of diffuse idiopathic skeletal hyperostosis of the cervical spine.

3. Cervical osteophytes impinging on the pharynx: importance of size and concurrent disorders for development of aspiration.

4. Dyspnea and hoarseness. A complication of diffuse idiopathic skeletal hyperostosis.

5. An unusual cause of aspiration pneumonia.

6. Aspiration pneumonia due to diffuse cervical hyperostosis.

7. Radiographic and pathologic features of spinal involvement in diffuse idiopathic skeletal hyperostosis (DISH).

8. Diffuse idiopathic skeletal hyperostosis presenting with thoracic outlet syndrome and dysphagia.

9. Dysphagia due to cervical spondylosis.

10. Esophageal obstruction secondary to diffuse idiopathic skeletal hyperostosis.

Review 1. [Diffuse idiopathic skeletal hyperostosis: current aspects of diagnostics and therapy].

Review 2. Extraskeletal symptoms and comorbidities of diffuse idiopathic skeletal hyperostosis.

3. A geriatric patient with diffuse idiopathic skeletal hyperostosis.

Review 4. Diffuse idiopathic skeletal hyperostosis (DISH) - A common but less known cause of back pain.

5. Forestier's disease presenting with dysphagia and disphonia.

6. Surgical Treatment for Cervical Diffuse Idiopathic Skeletal Hyperostosis as a Cause of Dysphagia.

7. SAPHO Syndrome Presenting With Atlo-Epistrophic Synovitis and Left Vocal Cord Paresis: A Challenging Diagnosis.

Review 8. Forestier's disease and its implications in otolaryngology: literature review.