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GAZZETTA MEDICA ITALIANA ARCHIVIO PER LE SCIENZE MEDICHE

A Journal on Internal Medicine and Pharmacology


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CASE REPORT  ORAL AND GASTROINTESTINAL DISEASES: IMAGING STATE OF THE ART AND PSYCHOPATHOLOGICAL FEATURES


Gazzetta Medica Italiana Archivio per le Scienze Mediche 2017 November;176(11):592-5

DOI: 10.23736/S0393-3660.17.03551-3

Copyright © 2017 EDIZIONI MINERVA MEDICA

language: English

Computed tomography for the diagnosis and management of idiopathic cervical spine hyperostosis

Graziella DI GREZIA 1, Gianluca GATTA 1, Luigi VECCHIONE 2, Gabriele VITIELLO 2, Emanuele D’ANNA 2, Antonio DELL’AQUILA 2

1 Department of Radiology, Luigi Vanvitelli University of Campania, Naples, Italy; 2 Ospedale dei Pellegrini, Naples, Italy


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Swallowing disorders due to diffuse idiopathic skeletal hyperostosis (DISH) often remain undetected, even if symptoms increase over the years. We present the case of a 72-year-old woman with an eight-year swallowing disorder history. A cervical spine CT highlighted the hyperostosis with a consequent anterior displacement of oropharynx. Authors used the Mader Classification in the DISH evaluation, according to a multidisciplinary approach of the disease. The patient suffering from hypertension, but not from diabetes mellitus and presented a BMI of 23 kg/m2. A conservative approach was used; NSAIDs contributed to effective analgesia and the treatment was well accepted from the patient, also during the investigation of a comfortable position; however, these drugs are not able to improve the degree of movements. A long-term treatment is difficult and during the disease progression, loss of weight, dyspnea, dysphonia and/or food aspiration may occur.


KEY WORDS: Deglutition disorders - Oropharynx - Diffuse idiopathic skeletal hyperostosis

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Publication History

Issue published online: September 30, 2017
Manuscript accepted: May 25, 2017
Manuscript received: May 18, 2017

Cite this article as

Di Grezia G, Gatta G, Vecchione L, Vitiello G, D’Anna E, Dell’Aquila A. Computed tomography for the diagnosis and management of idiopathic cervical spine hyperostosis. Gazz Med Ital - Arch Sci Med 2017;176:592-5. DOI: 10.23736/S0393-3660.17.03551-3

Corresponding author e-mail

antoniodellaquila@alice.it