Dish: An Uncommon Cause of Dysphagia in the Elderly

Leonello Tacconi, Simone Ulivieri and Francesco Iacoangeli

Department of Neurosurgery, University Hospital of Siena, Italy

^*Correspondance to: Leonello Tacconi 

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Abstract:

Diffuse Idiopathic Skeletal Hyperostosis, also known as DISH or Forestier-Rotes-Querol disease can be an uncommon cause of Dysphagia. The prevalence of DISH can vary between 2.9% and 28%. It is a pathology consisting in an abnormal ossification of the spine that brings to a hyperostosis of the anterior column particularly in the cervical and thoracic tracts which can cause symptoms due to the compression of the surrounding tissues. Very often this entity is asymptomatic but when the calcification becomes abundant it can cause symptoms like dysphagia, dysphonia, and dyspnea. This entity must be kept into differential diagnosis with other pathologies which may affect patients over 60 years old. In this article we report the case of a 75 year old gentleman affected by DISH, which was successfully operated with completely resolution of the symptoms.

Keywords:

DISH; Dysphonia; Ossification; Spine; Cervical region

Cite the Article:

Tacconi L, Ulivieri S, Iacoangeli F. Dish: An Uncommon Cause of Dysphagia in the Elderly. Clin Case Rep Int. 2018; 2: 1055.