Diffuse Idiopathic Skeletal Hyperostosis Coexisting with Ossification of Posterior Longitudinal Ligament Causing Dysphagia: A Case Report and Literature Review

Diffuse idiopathic skeletal hyperostosis (DISH) is a systemic disease that is mostly reported in the spinal column with or without extraspinal involvement. DISH is often asymptomatic, but in case of progressive symptoms such as dysphagia, surgery may be required. Not only coexistence of DISH and oss...

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Published inJournal of orthopedic & spine trauma Vol. 3; no. 4
Main Authors Mirzashahi, Babak, Dehghani Firoozabadi, Mohammad Javad, Vahar, Mehdi, Forqan Khan, Yasin
Format Journal Article
LanguageEnglish
Published Tehran University of Medical Sciences 16.09.2018
Subjects
Diffuse Idiopathic Skeletal Hyperostosis
Dysphagia
Ossification Posterior Longitudinal Ligament
Spine Surgery
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Abstract Diffuse idiopathic skeletal hyperostosis (DISH) is a systemic disease that is mostly reported in the spinal column with or without extraspinal involvement. DISH is often asymptomatic, but in case of progressive symptoms such as dysphagia, surgery may be required. Not only coexistence of DISH and ossification of posterior longitudinal ligament (OPLL) is uncommon, but also dysphagia as a presenting symptom in these patients is quite rare. To our knowledge, there are merely few such cases have been reported in the literature. In this study, we present the case of a 30-year-old man with the chief compliant of progressive dysphagia. After evaluation, diagnoses of DISH and OPLL were established, due to poor response to conservative treatment, the patient was managed surgically and favorable results were achieved.
AbstractList Diffuse idiopathic skeletal hyperostosis (DISH) is a systemic disease that is mostly reported in the spinal column with or without extraspinal involvement. DISH is often asymptomatic, but in case of progressive symptoms such as dysphagia, surgery may be required. Not only coexistence of DISH and ossification of posterior longitudinal ligament (OPLL) is uncommon, but also dysphagia as a presenting symptom in these patients is quite rare. To our knowledge, there are merely few such cases have been reported in the literature. In this study, we present the case of a 30-year-old man with the chief compliant of progressive dysphagia. After evaluation, diagnoses of DISH and OPLL were established, due to poor response to conservative treatment, the patient was managed surgically and favorable results were achieved.
Author Vahar, Mehdi
Forqan Khan, Yasin
Dehghani Firoozabadi, Mohammad Javad
Mirzashahi, Babak
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Cites_doi 10.1093/rheumatology/31.8.531
10.1016/j.jbspin.2013.02.011
10.1097/00002281-200405000-00021
10.1093/rheumatology/41.1.27
10.1074/jbc.M304638200
10.1007/s00586-009-1133-3
10.1093/rheumatology/31.5.319
10.1016/S0090-3019(00)00227-5
10.1055/s-0035-1563722
10.1001/archinte.1976.03630070011006
10.1016/S0720-048X(97)00164-2
10.1080/03009747509095610
10.1097/BRS.0b013e31814b84fe
10.1016/j.semarthrit.2008.01.010
10.1097/00000542-200405000-00039
10.1136/ard.46.2.166
10.1093/rheumatology/29.5.349
10.1136/ard.9.4.321
10.1007/s00296-005-0588-8
10.1155/2012/123825
10.1016/S1297-319X(02)00377-9
10.1007/s002560050225
10.3109/02688697.2014.977777
10.1093/rheumatology/41.11.1335
10.1148/radiology.140.3.7280223
10.2214/ajr.131.6.1049
10.1590/s1679-45082014ai2659
10.1007/s00586-008-0764-0
10.1016/j.spinee.2011.09.014
10.1016/S0307-742X(21)00544-0
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References key-A69347REF33-33
key-A69347REF16-16
Ozgocmen S (key-A69347REF30-30) 2002; 69
Sarzi-Puttini P (key-A69347REF19-19) 2004; 16
Epstein NE (key-A69347REF6-6) 2000; 53
key-A69347REF10-10
key-A69347REF12-12
key-A69347REF14-14
Weinfeld RM (key-A69347REF18-18) 1997; 26
Schlapbach P (key-A69347REF13-13) 1992; 31
key-A69347REF24-24
Griffiths ID (key-A69347REF7-7) 1987; 46
key-A69347REF28-28
Naik B (key-A69347REF15-15) 2004; 100
Beyeler C (key-A69347REF11-11) 1990; 29
Julkunen H (key-A69347REF20-20) 1975; 4
key-A69347REF4-4
key-A69347REF5-5
Pereira FO (key-A69347REF31-31) 2014; 12
Forestier J (key-A69347REF1-1) 1950; 9
key-A69347REF32-32
key-A69347REF17-17
Utsinger PD (key-A69347REF22-22) 1985; 11
De Jesus-Monge WE (key-A69347REF27-27) 2008; 18
key-A69347REF2-2
Laus M (key-A69347REF29-29) 1995; 80
key-A69347REF23-23
Beyeler C (key-A69347REF3-3) 1992; 31
key-A69347REF25-25
Resnick D (key-A69347REF21-21) 1988
key-A69347REF8-8
key-A69347REF9-9
Kiss C (key-A69347REF26-26) 2002; 41
References_xml – volume: 31
  start-page: 531
  issue: 8
  year: 1992
  ident: key-A69347REF13-13
  publication-title: Br J Rheumatol.
  doi: 10.1093/rheumatology/31.8.531
– ident: key-A69347REF9-9
  doi: 10.1016/j.jbspin.2013.02.011
– volume: 16
  start-page: 287
  issue: 3
  year: 2004
  ident: key-A69347REF19-19
  publication-title: Curr Opin Rheumatol.
  doi: 10.1097/00002281-200405000-00021
– volume: 41
  start-page: 27
  issue: 1
  year: 2002
  ident: key-A69347REF26-26
  publication-title: Rheumatology (Oxford).
  doi: 10.1093/rheumatology/41.1.27
– ident: key-A69347REF24-24
  doi: 10.1074/jbc.M304638200
– ident: key-A69347REF33-33
  doi: 10.1007/s00586-009-1133-3
– volume: 31
  start-page: 319
  issue: 5
  year: 1992
  ident: key-A69347REF3-3
  publication-title: Br J Rheumatol.
  doi: 10.1093/rheumatology/31.5.319
– volume: 18
  start-page: S2
  issue: 2 Suppl 2
  year: 2008
  ident: key-A69347REF27-27
  publication-title: Ethn Dis.
– volume: 53
  start-page: 427
  issue: 5
  year: 2000
  ident: key-A69347REF6-6
  publication-title: Surg Neurol.
  doi: 10.1016/S0090-3019(00)00227-5
– ident: key-A69347REF2-2
  doi: 10.1055/s-0035-1563722
– ident: key-A69347REF12-12
  doi: 10.1001/archinte.1976.03630070011006
– ident: key-A69347REF23-23
  doi: 10.1016/S0720-048X(97)00164-2
– volume: 4
  start-page: 23
  issue: 1
  year: 1975
  ident: key-A69347REF20-20
  publication-title: Scand J Rheumatol.
  doi: 10.1080/03009747509095610
– ident: key-A69347REF5-5
  doi: 10.1097/BRS.0b013e31814b84fe
– ident: key-A69347REF4-4
  doi: 10.1016/j.semarthrit.2008.01.010
– volume: 100
  start-page: 1311
  issue: 5
  year: 2004
  ident: key-A69347REF15-15
  publication-title: Anesthesiology.
  doi: 10.1097/00000542-200405000-00039
– volume: 46
  start-page: 166
  issue: 2
  year: 1987
  ident: key-A69347REF7-7
  publication-title: Ann Rheum Dis.
  doi: 10.1136/ard.46.2.166
– volume: 29
  start-page: 349
  issue: 5
  year: 1990
  ident: key-A69347REF11-11
  publication-title: Br J Rheumatol.
  doi: 10.1093/rheumatology/29.5.349
– volume: 9
  start-page: 321
  issue: 4
  year: 1950
  ident: key-A69347REF1-1
  publication-title: Ann Rheum Dis.
  doi: 10.1136/ard.9.4.321
– ident: key-A69347REF25-25
  doi: 10.1007/s00296-005-0588-8
– start-page: 1563–1615
  year: 1988
  ident: key-A69347REF21-21
  publication-title: Diagnosis of bone and joint disorders.
– ident: key-A69347REF28-28
  doi: 10.1155/2012/123825
– volume: 69
  start-page: 226
  issue: 2
  year: 2002
  ident: key-A69347REF30-30
  publication-title: Joint Bone Spine.
  doi: 10.1016/S1297-319X(02)00377-9
– volume: 26
  start-page: 222
  issue: 4
  year: 1997
  ident: key-A69347REF18-18
  publication-title: Skeletal Radiol.
  doi: 10.1007/s002560050225
– ident: key-A69347REF17-17
  doi: 10.3109/02688697.2014.977777
– ident: key-A69347REF16-16
  doi: 10.1093/rheumatology/41.11.1335
– ident: key-A69347REF10-10
  doi: 10.1148/radiology.140.3.7280223
– volume: 80
  start-page: 263
  issue: 3
  year: 1995
  ident: key-A69347REF29-29
  publication-title: Chir Organi Mov.
– ident: key-A69347REF8-8
  doi: 10.2214/ajr.131.6.1049
– volume: 12
  start-page: 380
  issue: 3
  year: 2014
  ident: key-A69347REF31-31
  publication-title: Einstein (Sao Paulo).
  doi: 10.1590/s1679-45082014ai2659
– ident: key-A69347REF32-32
  doi: 10.1007/s00586-008-0764-0
– ident: key-A69347REF14-14
  doi: 10.1016/j.spinee.2011.09.014
– volume: 11
  start-page: 325
  issue: 2
  year: 1985
  ident: key-A69347REF22-22
  publication-title: Clin Rheum Dis.
  doi: 10.1016/S0307-742X(21)00544-0
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SubjectTerms Diffuse Idiopathic Skeletal Hyperostosis
Dysphagia
Ossification Posterior Longitudinal Ligament
Spine Surgery
Title Diffuse Idiopathic Skeletal Hyperostosis Coexisting with Ossification of Posterior Longitudinal Ligament Causing Dysphagia: A Case Report and Literature Review
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