Turkish Journal of Physical Medicine and Rehabilitation
2016 , Vol 62 , Num 4
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Reccurent dysphagia after redo surgery in diffuse idiophatic skeletal hyperostosis
1 Ankara Fizik Tedavi ve Rehabilitasyon Eğitim ve Araştırma Hastanesi, Fizik Tedavi ve Rehabilitasyon Kliniği, Ankara, Türkiye
Diffuse idiophatic skeletal hyperostosis (DISH) is characterized with calcification and ossification of soft tissues, especially enthesitis
points, ligaments and the joint capsule. Dysphagia or cervical myelopathy may be seen in the cases of DISH with cervical spine involvement.
In association with ossification of the posterior longitudinal ligament it can result in myelopathy and sometimes quadriplegia. Surgical
interventions are rarely necessary for exceptional complications such as osteophytic dysphagia or spinal stenosis. In this article, we report
a 62-year-old male patient with DISH with increased dysphagia, stiffness in neck and weakness of upper extremity for 1.5 years, who was
operated three times. Despite redo surgeries, the symptoms repeated two to three months after the surgery.
Diffuse idiopathic skeletal hyperostosis; dysphagia; upper extremity weakness