Squadrito Gaetano, Reale Francesca, D'Agostino Giovanni, Treglia Giorgio, Bruno Isabella, Campioni Paolo, Milani Alessandro, Galli Jacopo, Costantini Alessandro Maria, Valenza Venanzio
Istituto di Medicina Nucleare, Università Cattolica del S. Cuore, Policlnico A. Gemelli, Roma, Italy.
Rays. 2005 Jul-Sep;30(3):251-5.
The case of a patient with dysphonia and ingravescent dysphagia, associated with crises of lipothymia "ab ingestis" is discussed. ENT examination with videolaryngoscopy evidenced a swelling of the posterior hypopharyngeal wall. X-ray study of the upper digestive tract was discontinued for inhalation. The scintigraphic study of swalling documented marked alteration of the oropharyngeal phase with phenomena of post-deglutitory aspiration. CT of the cervical vertebral column documented anterior diffuse vertebral hyperostosis of C3-C6: this finding was suggestive of Forestier disease.
讨论了一例患有发音困难和进行性吞咽困难并伴有“食后”晕厥发作的患者病例。耳鼻喉科检查结合电子喉镜检查发现下咽后壁肿胀。因吸入性问题中断了上消化道的X线检查。吞咽闪烁扫描研究记录了口咽期的明显改变以及吞咽后误吸现象。颈椎CT显示C3 - C6椎体前缘弥漫性骨质增生:这一发现提示Forestier病。