Forestier syndrome presenting with dysphagia: case report of a rare presentation (original) (raw)
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International Journal of Spine Research, 2020
Background Diffuse Idiopathic Skeletal Hyperostosis (DISH) or Forestier disease is defi ned as a non-infl ammatory ossifi cation of ligaments of the spinal colon [1]. It is mostly seen in the upper thoracic vertebra but can also occur anywhere on the vertebral colon [2]. Estimated prevalence is suggested between 2.9%-28% in general [3]. Mostly identifi ed as an incidental fi nding on plain radiographs or computerized tomography most cases are asymptomatic. But based on location and size symptoms may vary from neck and back pain, to dysphagia and eating disabilities. The incidence rises with age and several metabolic disorders like diabetes mellitus and hypercholesterolemia are risk factors for DISH [2,4]. We present a rare case of Forestier disease with multi-level vertebra involvement from the upper cervical to the thoracic area which has not been reported in the literature before.
Forestier's syndrome : a rare cause of dysphagia. A case report and review of the literature
Acta orthopaedica Belgica, 2020
We report a 72-year-old male with Forestier's syndrome suffering of dysphagia due to an anterior cervical calcification, unusually great in both volume and extent. Its resection by anterior approach allowed the immediate restoration of a normal swallowing. A bony resection is sufficient in case of Forestier's syndrome, but it must be associated with fixation in case of degenerative osteophyte with disc instability. Long-term follow-up is necessary because the recurrence of the calcification is slow but frequent.
Arthritis & Rheumatism, 1984
Diffuse idiopathic skeletal hyperostosis (Forestier's disease, DISH, or ankylosing hyperostosis), is a well-described disorder of middle-aged and elderly people (1-6). DISH has a unique spinal pathology (I ,4,6), as well as characteristic extraspinal manifestations (7-9). Ankylosing spondylitis, a relatively common disease usually affecting younger people, also has spinal and extraspinal abnormalities, but it has pathologic and radiographic pictures distinct from DISH (10). Resnick stated that DISH and ankylosing spondylitis may occur concomitantly in a given elderly patient (lo), but we have found no published case reports. We report here a 72-year-old man whose radiographs of his cervical spine revealed changes of DISH while those of his lumbar spine showed changes of ankylosing spondylitis. To our knowledge, this is the first case report in the literature illustrating the coexistence of these 2 diseases.
Dysphagia Due to Forestier Disease: Three Cases and Systematic Literature Review
Indian Journal of Otolaryngology and Head & Neck Surgery, 2011
Forestier disease or diffuse idiopathic skeletal hyperostosis (DISH) is an uncommon cause of dysphagia. Due to rarity of this condition there is neither any demographic data nor any consensus about the investigation and treatment modalities. Here an effort is made in the present article to compile the information regarding the demographic and clinical features, investigation modalities and Keywords Forestier disease Á Diffuse idiopathic skeletal hyperostosis Á Dysphagia
How to diagnose and treat symptomatic anterior cervical osteophytes?
European Annals of Otorhinolaryngology, Head and Neck Diseases, 2010
Introduction: Forestier disease, a cervical anterior form of diffuse idiopathic skeletal hyperostosis (DISH) is electively diagnosed in the elderly population. ENT symptoms are likely prevalent (dysphagia, and less frequently dysphonia, dyspnea, etc.), but diagnosis and the relation between symptoms and anterior longitudinal ligament ossification can be difficult to demonstrate. Starting from two clinical cases and a review of the literature, the authors propose a diagnostic and therapeutic course of action. Materials and methods: A typical description of Forestier disease is related based on the cases of two 80-and 79-year-old men referred with gradually worsening swallowing problems leading to dysphagia. Both underwent surgical resection of cervical osteophytes via a lateral cervical approach after failure of the medical treatments. Discussion: Based on the clinical presentations and the analysis of the literature, the authors describe the clinical features of the cervical anterior form of DISH presenting with ENT symptoms. The diagnosis and conservative therapeutic, and surgical management of anterior cervical hyperostosis based on ongoing gradual solutions are described.
Forestier's Disease and Dysphagia
A 60-year-old man was seen in the King Faisal Specialist Hospital and Research Centre, Saudi Arabia, with 6 months' history of progressive dysphagia with the sensation of the presence of a foreign body, hoarseness of voice, limitation of neck flexion, and breathing difficulty on attempting neck flexion. A plain cervical radiograph, barium swallow, and computed tomography confirmed the presence of large cervical osteophytes, which were the cause of his symptoms.
Incidence of Diffuse Idiopathic Skeletal Hyperostosis From a Model of Dysphagia
Acta Otorrinolaringologica (English Edition), 2020
Objective: To relate symptoms of dysphagia to Forestier-Rotes Querol disease or diffuse idiopathic skeletal hyperostosis (DISH), a disorder due to ossification in the anterior longitudinal ligament and calcifications in other entheses. Patients and methods: Review of clinical and radiological findings in 455 outpatients attended at our Center with dysphagia, for 5 years, referred from dental, trauma, neurological or primary health care. A diagnosis of DISH was established using Resnick's criteria. Results: We detected 51 cases with dysphagia consistent with DISH diagnostic criteria-11.2% of subjects suffering this symptom-out of 32 544 outpatients attended. An incidence of 7:100 000 inhabitants per year was observed. Two cases showed significant improvement after removing the new bone in the spine. Conclusions: DISH is an ankylosing ossification between the joints, frequently systemic but showing no clinical symptoms. When symptoms manifest, neck movements and upper airways are involved, mainly dysphagia. A few cases need surgery to relieve the calcification processes.
Diffuse Idiopathic Skeletal Hyperostosis Causing Dysphagia Due to a Giant Cervical
2015
Diffuse idiopathic skeletal hyperostosis (DISH) is a common disease in which tendons and capsules are subject to calcification leading to hyperostosis and functional impairment. Diagnosis of DISH is established by the presence of both spinal and extra-spinal radiographic characteristics. Typical appearance of the cervical spine includes irregular and pointed osseous osteophytic appositions of the superior and inferior vertebral margin. Large anterior osteophytes of the cervical spine are common in diffuse idiopathic skeletal hyperostosis (DISH) and 17% of patients with DISH have been reported to describe some levels of dysphagia. In this case report, we describe a surgically treated 88-year-old man who presented with dysphagia and painful swallowing caused by a huge anterior cervical osteophyte due to DISH. The osteophyte was removed surgically and dysphagia resolved immediately.