A geriatric patient with diffuse idiopathic skeletal hyperostosis

Abstract

The most frequent health problems seen in senility are chronic and degenerative diseases. A 75-year-old male patient with the complaints of weight loss and difficulty in swallowing was admitted to our hospital from a nursing home. Upper system fiber-optic gastrointestinal endoscopy was performed and a mass at the junction of the hypopharynx and esophagus just below recessus piriformis obstructing almost the whole of the lumen and blocking the distal passage was detected. Computed tomography revealed marked narrowing secondary to osseous hypertrophy in the air column of the hypopharynx and proximal esophagus. Diffuse idiopathic skeletal hyperostosis or Forestier's disease is an idiopathic disease characterized by the ossification of the anterior longitudinal ligament of vertebra and some of the extraspinal ligaments. In the present case we aim to discuss an elderly patient who suffered from dysphagia and weight loss and the diagnostic stages.

Forestier’s disease and its implications in otolaryngology: literature review✩✩Please cite this article as: Pulcherio JOB, Velasco CMMO, Machado RS, Souza WN, Menezes DR. Forestier’s disease and its implications in otolaryngology: literature review. Braz J Otorhinolaryngol. 2014;80:161-6.,✩✩✩✩Study conducted at Hospital Central da Polícia Militar do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.

“… 5. , 33. Videofluoroscopy, upper digestive endoscopy, and deglutition videoendoscopy can be used in this differential diagnosis, in addition to the previously reported tests.…”

Dysphagia Due to Forestier Disease: Three Cases and Systematic Literature Review

“…Most of the cases were reported from the Mediterranean region and eastern European countries, mostly from Turkey (16 cases) [2][3][4][5][6][7][8][9] and Italy (13 cases) [10,11]. Seven cases were reported each from Germany [12][13][14] and the USA [15][16][17].…”

Ossification of the anterior longitudinal ligament observed during upper endoscopy for dysphagia

“…According to Forestier, the incidence of stage 2 or a higher stage OALL was 46.4% in men, 19.6% in women, and 30.7% overall; it was 4.5% in a mass screening of the general population aged 50 years and older [5]. It is more common among elderly men [2] and has no characteristic symptoms, but it causes dysphagia, hoarseness, neck pain, back pain, and other symptoms [6]. Of patients with OALL, 17-28% experience dysphagia [7].…”

“…If patients present with neck pain and limited neck range of motion, diagnosis is easy. However, in endoscopic assessment of swallowing, oral physicians should consider that OALL of the cervical spine may compress the pharynx or esophagus, which may lead to dysphagia . Here, we report the case of a patient with OALL of the cervical spine that caused dysphagia; upper endoscopy was the impetus for diagnosis in this patient.…”

“…E-mail addresses: yonenaga-tky@umin.ac.jp (K. Yonenaga), rockymuku@yahoo.co.jp (H. Maita), yonehara.yoshiyuki@nihon-u.ac.jp (Y. Yonehara), namaki.shunsuke@nihon-u.ac.jp (S. Namaki), suenagah-ora@h.u-tokyo.ac.jp (H. Suenaga), takato-ora@h.u-tokyo.ac.jp (T. Takato). in endoscopic assessment of swallowing, oral physicians should consider that OALL of the cervical spine may compress the pharynx or esophagus, which may lead to dysphagia [2]. Here, we report the case of a patient with OALL of the cervical spine that caused dysphagia; upper endoscopy was the impetus for diagnosis in this patient.…”