%0 Journal Article
%T Diffuse Idiopathic Skeletal Hyperostosis (DISH)¡ªA Rare Etiology of Dysphagia
%A Balakumar Krishnarasa
%A Abhirami Vivekanandarajah
%A Lucinda Ripoll
%A Edwin Chang and Robert Wetz
%J Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders
%D 2012
%I 
%R 10.4137/CMAMD.S6949
%X Abstract: A 72-year-old gentleman presented to the hospital with progressively worsening dysphagia to soft foods and liquids. He was diagnosed with severe pharyngeal dysphagia by modified barium swallow. A CT scan of the neck with IV contrast showed anterior flowing of bridging osteophytes from C3-C6, indicative of DISH, resulting in esophageal impingement. He underwent resection of the DISH segments. Following the surgery, a PEG tube for nutrition supplementation was placed. However, the PEG tube was removed after five months when the speech and swallow evaluation showed no residual dysphagia. DISH is a rare non-inflammatory condition that results in pathological ossification and calcification of the anterolateral spinal ligaments.
%U http://www.la-press.com/diffuse-idiopathic-skeletal-hyperostosis-disha-rare-etiology-of-dyspha-article-a2845