Yıl 2013, Cilt 4 , Sayı 3, Sayfalar 123 - 126 2013-07-01

Diffuse Idiopathic Skeletal Hyperostosis Fracture: Case Report
Diffüz İdiyopatik İskelet Hiperostozisi Kırığı: Olgu sunumu

Mehmet Özgür Erdoğan [1] , Şahin Çolak [2] , Mehmet Tahir Gökdemir [3] , Barış Alper [4] , Sezin Aktaş [5]


Diffuse idiopathic skeletal hyperostosis is a frequently seen disease in emergency departments. Dysphagia due to serious cervical disease is reported in the literature. However, acute trauma-induced dysphagia as a result of cervical diffuse idiopathic skeletal hyperostosis fracture has not been reported in the literature. An eighty year-old male presented with neck pain and dysphagia after a fall; radiological assessments revealed C3-4, C4-5 hyperostosis decomposition secondary to trauma. Lornoxicam 16 mg/day, and methyl prednisolone 60mg/day was administered through the intravenous route. Oral intake was restricted for 24 hours, and the patient was observed for 24 hours. The patient was discharged with lornoksicam 8 mg/day, after the regression of complaints. Emergency physicians should diagnose hyperostosis fractures after trauma using lateral cervical x-rays in the elderly, as these fractures may lead to dysphagia. Dysphagia due to trauma of diffuse idiopathic skeletal hyperostosis may regress with anti-inflammatory treatment
Diffüz idiyopatik iskelet hiperostozisi (Forestier hastalığı) acil servislerde sık karşılaştığımız hastalıklardan biridir. Servikal ilerlemiş formlarına bağlı disfaji vakaları literatürde mevcuttur. Travma sonucu servikal diffüz idiyopatik iskelet hiperostozisi fraktürüne bağlı akut gelişen disfaji vakası tanımlanmamıştır. Seksen yaşında erkek hasta bulunduğu zeminde düşme sonrası, boyun ağrısı ve disfaji ile kliniğimize başvurdu. Hastanın radyolojik değerlendirmesinde C3-4, C4-5 arasında travmaya sekonder hiperostozisde ayrışma gözlendi. Hastaya lornoksikam 16 mg/gün ve metil prednisolon 60mg/gün parenteral olarak verildi. Yirmi dört saatlik oral alım kısıtlaması uygulandı. Yirmi dört saatlik takip sonrası şikayeti gerileyen hasta lornoksikam 8 mg/gün ile taburcu edildi. Acil hekimleri yaşlılarda travma sonrası çekilen yan servikal grafilerde hiperostozisi tanımalıdır. Bu fraktürler disfaji yapabilir. Diffüz idiyopatik iskelet hiperostozisinde travmaya bağlı gelişen disfaji antiinflamatuvar tedavi ile gerileyebilmektedir.
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Diğer ID JA44TJ46HT
Bölüm Case Report
Yazarlar

Yazar: Mehmet Özgür Erdoğan
Kurum: Department of Emergency Medicine, Haydarpaşa Numune Training and Research Hospital, İstanbul, Turkey

Yazar: Şahin Çolak
Kurum: Department of Emergency Medicine, Haydarpaşa Numune Training and Research Hospital, İstanbul, Turkey

Yazar: Mehmet Tahir Gökdemir
Kurum: Department of Emergency Medicine, Haydarpaşa Numune Training and Research Hospital, İstanbul, Turkey

Yazar: Barış Alper
Kurum: Department of Emergency Medicine, Haydarpaşa Numune Training and Research Hospital, İstanbul, Turkey

Yazar: Sezin Aktaş
Kurum: Department of Emergency Medicine, Haydarpaşa Numune Training and Research Hospital, İstanbul, Turkey

Tarihler

Yayımlanma Tarihi : 1 Temmuz 2013

Bibtex @ { jemcr535511, journal = {Journal of Emergency Medicine Case Reports}, issn = {}, eissn = {2149-9934}, address = {Yukarı Ayrancı Güleryüz Sk. No: 26/19 06550 Çankaya-Ankara, Turkey}, publisher = {Acil Tıp Uzmanları Derneği}, year = {2013}, volume = {4}, pages = {123 - 126}, doi = {}, title = {Diffuse Idiopathic Skeletal Hyperostosis Fracture: Case Report}, key = {cite}, author = {Erdoğan, Mehmet Özgür and Çolak, Şahin and Gökdemir, Mehmet Tahir and Alper, Barış and Aktaş, Sezin} }
APA Erdoğan, M , Çolak, Ş , Gökdemir, M , Alper, B , Aktaş, S . (2013). Diffuse Idiopathic Skeletal Hyperostosis Fracture: Case Report. Journal of Emergency Medicine Case Reports , 4 (3) , 123-126 . Retrieved from https://dergipark.org.tr/tr/pub/jemcr/issue/43660/535511
MLA Erdoğan, M , Çolak, Ş , Gökdemir, M , Alper, B , Aktaş, S . "Diffuse Idiopathic Skeletal Hyperostosis Fracture: Case Report". Journal of Emergency Medicine Case Reports 4 (2013 ): 123-126 <https://dergipark.org.tr/tr/pub/jemcr/issue/43660/535511>
Chicago Erdoğan, M , Çolak, Ş , Gökdemir, M , Alper, B , Aktaş, S . "Diffuse Idiopathic Skeletal Hyperostosis Fracture: Case Report". Journal of Emergency Medicine Case Reports 4 (2013 ): 123-126
RIS TY - JOUR T1 - Diffuse Idiopathic Skeletal Hyperostosis Fracture: Case Report AU - Mehmet Özgür Erdoğan , Şahin Çolak , Mehmet Tahir Gökdemir , Barış Alper , Sezin Aktaş Y1 - 2013 PY - 2013 N1 - DO - T2 - Journal of Emergency Medicine Case Reports JF - Journal JO - JOR SP - 123 EP - 126 VL - 4 IS - 3 SN - -2149-9934 M3 - UR - Y2 - 2019 ER -
EndNote %0 Journal of Emergency Medicine Case Reports Diffuse Idiopathic Skeletal Hyperostosis Fracture: Case Report %A Mehmet Özgür Erdoğan , Şahin Çolak , Mehmet Tahir Gökdemir , Barış Alper , Sezin Aktaş %T Diffuse Idiopathic Skeletal Hyperostosis Fracture: Case Report %D 2013 %J Journal of Emergency Medicine Case Reports %P -2149-9934 %V 4 %N 3 %R %U
ISNAD Erdoğan, Mehmet Özgür , Çolak, Şahin , Gökdemir, Mehmet Tahir , Alper, Barış , Aktaş, Sezin . "Diffuse Idiopathic Skeletal Hyperostosis Fracture: Case Report". Journal of Emergency Medicine Case Reports 4 / 3 (Temmuz 2013): 123-126 .
AMA Erdoğan M , Çolak Ş , Gökdemir M , Alper B , Aktaş S . Diffuse Idiopathic Skeletal Hyperostosis Fracture: Case Report. Journal of Emergency Medicine Case Reports. 2013; 4(3): 123-126.
Vancouver Erdoğan M , Çolak Ş , Gökdemir M , Alper B , Aktaş S . Diffuse Idiopathic Skeletal Hyperostosis Fracture: Case Report. Journal of Emergency Medicine Case Reports. 2013; 4(3): 126-123.