Diffuse Idiopathic Skeletal Hyperostosis: Neurosurgical Cause of Dysphagia

Year 2015, , 51 - 57, 09.10.2015

Kadir Oktay , Semih Olguner Mustafa Saraç Kerem Özsoy Nuri Çetinalp Yurdal Gezercan Şakir Vural

https://doi.org/10.17826/cutf.58029

Cited By: 1

Abstract

Diffuse idiopathic skeletal hyperostosis is a chronic entesopathy which causes excessive formation of osteophytes along the ventral spine in the absence of degenerative, traumatic and inflammatory pathologies of spinal ligaments or paravertebral muscles. Dysphagia is the most common symptom of this disease which may need surgical management. In this article, we report three cases with diffuse idiopathic skeletal hyperostosis treated in our department. The clinical and diagnostic imaging characteristics along with treatments performed and outcomes of these three patients were described. Diffuse idiopathic skeletal hyperostosis is an idiopathic rheumatological disorder which may need surgical treatments in severe forms of the disease.

Keywords

Diffuse idiopathic skeletal hyperostosis, Forestier’s disease, dysphagia, cervical osteophytes

Diffüz İdiopatik İskelet Hiperostozisi: Disfajinin Nöroşirurjikal Sebebi

Abstract

Diffüz idiyopatik iskelet hiperostozisi, spinal ligamanlar veya paravertebral kasların dejeneratif, travmatik ve inflamatuar patolojileri olmaksızın ventral omurga boyunca osteofitlerin aşırı oluşumuna neden olan kronik bir entesopatidir. Disfaji bu hastalığın en sık görülen ve cerrahi tedavi gerektirebilen semptomudur. Bu makalede, kliniğimizde diffüz idiyopatik iskelet hiperostozisi nedeniyle tedavi uygulanan üç vaka sunulmaktadır. Bu üç hastanın klinik ve tanısal görüntüleme özellikleri ile uygulanan tedaviler ve sonuçları değerlendirildi. Diffüz idiyopatik iskelet hiperostozisi, hastalığın ağır formlarında cerrahi tedavi gerektirebilen idiyopatik romatolojik bir hastalıktır.

Keywords

Diffüz idiyopatik iskelet hiperostozisi, Forestier hastalığı, disfaji, servikal osteofit

References

• Forestier J, Rotes-Querol J. Senile ankylosing hyperostosis of the spine. Ann Rheum. 1950;9:321- 30.
• Resnick D, Shaul SR, Robins JM. Diffuse idiopathic skeletal hyperostosis (DISH): Forestier’s disease with extraspinal manifestations. Radiology. 1975;115:513- 24
• Bradenberg G, Leibrock LG. Dysphagia and dysphonia secondary to anterior cervical osteophytes. Neurosurgery. 1986;18:90-3.
• DiGiovanna JJ. Isotretinoin effects on bone. J Am
• Cammisa M, De Serio A, Guglielmi G. Diffuse idiopathic skeletal hyperostosis. Eur J Radiol. 1998;27:7-11.
• Mader R. Clinical manifestations of diffuse idiopathic skeletal hyperostosis of the cervical spine. Semin Arthritis Rheum. 2002;32:130-5.
• Carlson MJ, Stauffer RN, Payne WS. Ankylosing vertebral hyperostosis causing dysphagia. Arch Surg. 1974;109:567-90.
• Clark E, Preston P, Wates A, Merry P. DISHphagia— a difficult problem to swallow. Rheumatology (Oxford). 2003;42:1422-3.
• Curtis JR, Lander PH, Moreland LW. Swallowing difficulties from “DISH-phagia”. J Rheumatol. 2004;31:2526-7.
• Oppenlander ME, Orringer DA, La Marca F, McGillicudy JE, Sullivan SE, Chandler WF, et al. Dysphagia due to anterior cervical hyperosteophytosis. Surg Neurol. 2009;72:266-71.
• Kiss C, O'Neill TW, Mituszova M, Szilagyi M, Donath J, Poor G. Prevalence of diffuse idiopathic skeletal hyperostosis in Budapest, Hungary. Rheumatology. 2002;41:1335-6.
• Boachie-Adjei O, Bullough PG. Incidence of ankylosing hyperostosis of the spine (Forestier's disease) at autopsy. Spine. 1987;12:739-43.
• Resnick D, Niwayama G. Radiographic and pathologic features of spinal involvement in diffuse idiopathic skeletal hyperostosis (DISH). Radiology. 1976;119:559-68.
• Sarzi-Puttini P, Atzeni F. New developments in our understanding of DISH (diffuse idiopathic skeletal hyperostosis). Curr Opin Rheumatol. 2004;16:287- 92.
• Utsinger PD. Diffuse idiopathic skeletal hyperostosis. Clin Rheum Dis. 1985;11:325-51.
• DiGiovanna JJ, Helfgott RK, Gerber LH, Peck GL. Extraspinal tendon and ligament calcification associated with long-term therapy with etretinate. SO N Engl J Med. 1986;315:1177-82. Acad Dermatol. 2001;45:176-82.
• Denko CW, Boja B, Moskowitz RW. Growth promoting peptides in osteoarthritis and diffuse idiopathic skeletal hyperostosis–insulin, insulin-like growth factor-I, growth hormone. J Rheumatol. 1994;21:725-30.
• Rosenthal M, Bahous I, Muller W. Increased frequency of HLA B8 in hyperostotic spondylosis. J Rheumatol[Suppl]. 1977;3:94-6.
• Resnick D, Shapiro RF, Wesner KB, Niwayama G, Utsinger PD, Shaul SR. Diffuse idiopathic skeletal hyperostosis (DISH). Semin Arthritis Rheum. 1978;7:153-87.
• Ozgocmen S, Kiris A, Kocakoc E, Ardicoglu O. Osteophyte induced dysphagia: report of three cases. Joint Bone Spine. 2002;69:226-9.
• Oostveen JC, Van de Laar MA, Tuynman FH. Anterior atlantoaxial subluxation in a patient with diffuse idiopathic skeletal hyperostosis. J Rheumatol. 1996;23:1441-4.
• Sreedharan S, Li YH. Diffuse idiopathic skeletal hyperostosis with cervical spinal cord injury – a report of 3 cases and a literature review. Ann Acad Med. 2005;34:257-61.
• Uppal S, Wheatley AH. Transpharyngeal approach for the treatment of dysphagia due to Forestier’s disease. J Laryngol Otol. 1999;113:366-8.
• Gamache Jr FW, Voorhies RM. Hypertrophic cervical osteophytes causing dysphagia. A review. J Neurosurg. 1980;53:338-44.
• Kibel SM, Johnson PM. Surgery for osteophyte- induced dysphagia. J Laryngol Otol. 1987;101:1291- 6.
• Stuart D. Dysphagia due to cervical osteophytes. A description of five patients and a review of the literature. Int Orthop. 1989;13:95-9.
• Suzuki K, Ishida Y, Ohmori K. Long term follow-up of diffuse idiopathic skeletal hyperostosis in the cervical spine. Analysis of progression of ossification. Neuroradiology. 1991;33:427-31.