McGarrah P D, Teller D
Department of Surgery, Brooke Army Medical Center, Fort Sam Houston, Tex 78234-6200, USA.
South Med J. 1997 Aug;90(8):858-60. doi: 10.1097/00007611-199708000-00020.
Dysphagia is a commonly encountered patient complaint. The differential diagnosis for dysphagia is extensive. One long-recognized etiology of dysphagia is cervical osteophytosis. Degenerative joint disease, ankylosing spondylosis, and diffuse idiopathic skeletal hyperostosis (DISH) can all cause cervical osteophyte formation. We describe a patient with dysphagia and a large cervical osteophyte. Our case illustrates cervical osteophytosis associated with a history of previous cervical spine trauma. Evaluation and management strategies are discussed.
吞咽困难是患者常见的主诉。吞咽困难的鉴别诊断范围广泛。一种长期被认可的吞咽困难病因是颈椎骨质增生。退行性关节病、强直性脊柱炎和弥漫性特发性骨肥厚(DISH)均可导致颈椎骨质增生形成。我们描述了一名患有吞咽困难和巨大颈椎骨质增生的患者。我们的病例说明了颈椎骨质增生与既往颈椎创伤史有关。文中还讨论了评估和管理策略。