Document Detail

Dysphagia due to diffuse idiopathic skeletal hyperostosis: an analysis of five cases.
MedLine Citation:
PMID:  19466417     Owner:  NLM     Status:  MEDLINE    
We report five cases of dysphagia caused by diffuse idiopathic skeletal hyperostosis or Forestier's disease of the cervical spine observed by clinical evaluations, X-ray and videofluoroscopy. Dysphagia in particular was present for solid foods in all patients. Three patients showed bolus aspiration into the airways, mainly in the post-swallowing phase and one patient with preserved epiglottic tilt showed post-swallowing penetration. The physiopathogenetic mechanisms affecting swallowing dynamics were mechanical compression of the pharyngeal lumen associated with abnormal epiglottic tilt, incomplete upper esophageal sphincter openings and epiglottic/vallecula stasis. According to our results we can hypothesize that these kinetic alterations may due to Forestier's disease.
Stefano Masiero; Elena Padoan; Massimo Bazzi; Alessandro Ponzoni
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-05-23
Journal Detail:
Title:  Rheumatology international     Volume:  30     ISSN:  1437-160X     ISO Abbreviation:  Rheumatol. Int.     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-02-17     Completed Date:  2010-04-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8206885     Medline TA:  Rheumatol Int     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  681-5     Citation Subset:  IM    
Department of Rehabilitation Medicine, University of Padua, Via Giustiniani 1, 35128, Padua, Italy.
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MeSH Terms
Aged, 80 and over
Contrast Media / diagnostic use
Deglutition Disorders / etiology*,  physiopathology,  radiography
Epiglottis / physiopathology
Esophageal Sphincter, Upper / physiopathology
Hyperostosis, Diffuse Idiopathic Skeletal / complications*,  physiopathology,  radiography
Pharynx / physiopathology
Video Recording
Reg. No./Substance:
0/Contrast Media

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