Journal: | Revista médica de Chile |
Database: | PERIÓDICA |
System number: | 000363096 |
ISSN: | 0034-9887 |
Authors: | Urrutia, Julio1 Bernardín, Andrés1 Morales, Cristián1 Millán, Rodrigo1 |
Institutions: | 1Pontificia Universidad Católica de Chile, Escuela de Medicina, Santiago de Chile. Chile |
Year: | 2013 |
Season: | Jun |
Volumen: | 141 |
Number: | 6 |
Pages: | 803-806 |
Country: | Chile |
Language: | Español |
Document type: | Artículo |
Approach: | Caso clínico |
English abstract | Diffuse idiopathic skeletal hyperostosis (DISH) is an under-diagnosed condition producing flowing ossification of the antero-lateral ligaments of the spine. Affecting predominantly males over 65 years old, it is an unusual cause of dysphagia and dysphonia. We report a 45-year-old male with a three years history of dysphonia and three months of dysphagia. The initial diagnosis was gastroesophageal reflux, and an endoscopy ruled out esophageal luminal pathology. Cervical spine radiographs showed ossification of the cervical anterior longitudinal ligament with large, prominent osteophytes from C3 to C6, producing esophageal and upper airway compression; these images were compatible with DISH. Cervical osteophyte resection resulted in complete resolution of symptoms. DISH should be considered in the differential diagnosis of dysphagia and dysphonia |
Disciplines: | Medicina |
Keyword: | Diagnóstico, Traumatología y ortopedia, Disfagia, Disfonía, Trastornos de la deglución, Hiperostosis esquelética difusa idiopática, Vértebras cervicales |
Keyword: | Medicine, Diagnosis, Traumatology and orthopedics, Dysphagia, Dysphonia, Deglutition disorders, Hyperostosis, Diffuse idiopathic skeletal hyperostosis, Cervical vertebrae |
Full text: | Texto completo (Ver HTML) |