Constantoyannis Constantine, Papadas Theodore, Konstantinou Demetrios
Department of Neurosurgery, University Hospital of Patras, Patras, Greece.
Cases J. 2008 Dec 23;1(1):416. doi: 10.1186/1757-1626-1-416.
Forestier's disease, also known as diffuse idiopathic skeletal hyperostosis (DISH), is an idiopathic rheumatological abnormality in which exuberant ossification occurs along throughout the body, but most notably the anterior longitudinal ligament of the spine.
We report on a 75-year-old white patient with progressive difficulty in swallowing and dysphagia, resulting in weight loss over the last two years. Radiological evaluation, (x-rays and Magnetic resonance imaging), confirmed the diagnosis of DISH, and revealed marked compression of the esophagus at the C5-6 level, due to excessive ossification of the anterior longitudinal ligament of the cervical spine.The patient was treated with anterior cervical approach for removal of the hyperostosis without fusion. He had marked improvement in swallowing function and was able to resume a normal diet after one month.
Diffuse idiopathic skeletal hyperostosis or Forestier's disease is an uncommon etiology of difficulty in swallowing and progressive dysphagia. Surgical excision of the cervical osteophytes typically leads to excellent symptomatic results.
福里斯特尔病，也称为弥漫性特发性骨肥厚（DISH），是一种特发性风湿性异常疾病，其特征是全身出现过度骨化，尤其是脊柱的前纵韧带。
我们报告一名75岁白人患者，在过去两年中出现进行性吞咽困难和吞咽障碍，导致体重减轻。影像学评估（X线和磁共振成像）确诊为DISH，并显示由于颈椎前纵韧带过度骨化，在C5-6水平食管明显受压。该患者接受了前路颈椎手术以切除骨赘，未进行融合。术后吞咽功能明显改善，一个月后能够恢复正常饮食。
弥漫性特发性骨肥厚或福里斯特尔病是吞咽困难和进行性吞咽障碍的罕见病因。手术切除颈椎骨赘通常能取得良好的症状改善效果。
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