Forestier’s disease presenting with dysphagia and disphonia

Najib, J.; Goutagny, Stéphane; Peyre, Matthieu; Faillot, Thierry; Kalamaridès, Michel

doi:10.11604/pamj.2014.17.168.2453

Cited by 6 publications

(5 citation statements)

References 20 publications

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“…Forestier disease is defi ned as a non-infl ammatory ossifi cation of spinal and peripheral elements [5,6] and was fi rst reported by Forestier and Rotes-Querol in 1950 [5] and later named as DISH by Resnick, et al, in 1975 [7]. Three criteria for diagnosis is crucial for this condition: ossifi cation of the anterior longitudinal ligament in at least four vertebral bodies successively, preservation of intervertebral disc height and intra-articular osseous fusion or sclerosis with absence of apophyseal joint bone ankylosis and sacroiliac joint erosion [5,8]. It is mostly seen in the thoracic region [5,9], but cases of the other vertebra segments are reported as well.…”

Section: Discussionmentioning

confidence: 99%

“…Three criteria for diagnosis is crucial for this condition: ossifi cation of the anterior longitudinal ligament in at least four vertebral bodies successively, preservation of intervertebral disc height and intra-articular osseous fusion or sclerosis with absence of apophyseal joint bone ankylosis and sacroiliac joint erosion [5,8]. It is mostly seen in the thoracic region [5,9], but cases of the other vertebra segments are reported as well. In the cervical region it is mostly seen in the subaxial segment between C4-C7 [10].…”

Section: Discussionmentioning

confidence: 99%

“…Most of the patients are asymptomatic are only diagnosed incidentally on radiographic fi ndings but may vary depending on the size and localization of the ossifi cations [9]. Dysphagia, being the most prominent symptom is seen in 17-28% of patients with cervical DISH due to compression of the esophagus by the osteophytes [5,8,9].…”

Section: Discussionmentioning

confidence: 99%

“…Also in rare cases, osteophytes compressing the jugular foramen, sympathetic chain, vertebral artery were reported [9]. Treatment may be either conservative or surgical however conservative treatment is adequate for most of the patients [5]. For patients with dysphagia, airway compromise and rapid weight loss, surgery should be the initial choice of treatment [8].…”

Section: Discussionmentioning

confidence: 99%

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Multi-Level forestier syndrome in the cervical vertebra with an unusual radiographic appearance: Case report

Deniz¹,

Avci²,

Meral³

et al. 2020

Int J Spine Res

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Background Diffuse Idiopathic Skeletal Hyperostosis (DISH) or Forestier disease is defi ned as a non-infl ammatory ossifi cation of ligaments of the spinal colon [1]. It is mostly seen in the upper thoracic vertebra but can also occur anywhere on the vertebral colon [2]. Estimated prevalence is suggested between 2.9%-28% in general [3]. Mostly identifi ed as an incidental fi nding on plain radiographs or computerized tomography most cases are asymptomatic. But based on location and size symptoms may vary from neck and back pain, to dysphagia and eating disabilities. The incidence rises with age and several metabolic disorders like diabetes mellitus and hypercholesterolemia are risk factors for DISH [2,4]. We present a rare case of Forestier disease with multi-level vertebra involvement from the upper cervical to the thoracic area which has not been reported in the literature before.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Multi-Level forestier syndrome in the cervical vertebra with an unusual radiographic appearance: Case report

Deniz¹,

Avci²,

Meral³

et al. 2020

Int J Spine Res

View full text Add to dashboard Cite

show abstract

“…Numerous studies have reported that surgery is effective in cases of DISH if dysphagia is serious or if conservative therapy has proven ineffective. 16 , 18 – 22) Conversely, some other studies have found that aspiration pneumonia may occur after removal of the osteophytes, implying that surgery is not effective 23) Therefore, as yet, there is no unified consensus. In the present case, the patient improved from FILS Level 2 to Level 7 as a result of conservative intervention with dysphagia rehabilitation, and became capable of eating semi-solid food by means of postural adjustment.…”

Section: Discussionmentioning

confidence: 99%

Prolonged Dysphagia due to a Combination of Cerebral Hemorrhage and Diffuse Idiopathic Skeletal Hyperostosis: A Case Report

Moriwaki

Hase

Fujioka

et al. 2016

NMC Case Report Journal

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A 79-year-old man was diagnosed with left thalamic hemorrhage. On admission, the Functional Independence Measure (FIM) motor score was 13 points, and the Food Intake Level Scale (FILS) was Level 2, with the patient needing enteral nutrition. Six months after stroke onset, the FIM motor score had improved to 38 points and the dysphagia to FILS Level 7. The patient was able to ingest easy-to-swallow food orally three times a day, but only after postural adjustment with rotation of the head. Seven months after stroke onset, the FIM motor score had reached 45 points but without further improvement in swallowing function. Videofluoroscopic swallowing evaluation (VF) revealed that the persistence of dysphagia was due to osteophytes on the cervical vertebrae caused by diffuse idiopathic skeletal hyperostosis. On surgical removal of the osteophytes, swallowing function improved to FILS Level 9; the patient was able to ingest normal food in a seated position without postural adjustment. One year after stroke onset, the patient was discharged with an FIM motor score of 59 points and FILS Level 9. At the 2-year follow-up, there was minimal recurrence of the osteophytes, and both motor and swallowing functions were maintained at the same level as at discharge. This case suggests that dysphagia in elderly patients may be due to multiple disorders, and that surgical intervention may occasionally be effective.

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The role of steroid administration in the management of dysphagia in anterior cervical procedures

et al. 2016

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Dysphagia is a common postoperative symptom for patients undergoing anterior cervical spine procedures. The purpose of this study is to present the current literature regarding the effect of steroid administration in dysphagia after anterior cervical spine procedures. We performed a literature search in the PubMed database, using the following terms: "dysphagia," "ACDF," "cervical," "surgery," "anterior," "spine," "steroids," "treatment," and "complications." We included in our review any study correlating postoperative dysphagia and steroid administration in anterior cervical spine surgery. Studies, which did not evaluate, pre- and postoperatively, dysphagia with a specific clinical or laboratory methodology were excluded from our literature review. Five studies were included in our results. All were randomized, prospective studies, with one being double blinded. Steroid administration protocol was different in every study. In two studies, dexamethasone was used. Methylprednisolone was administrated in three studies. In four studies, steroids were applied intravenously, while in one study, locally in the retropharyngeal space. Short-term dysphagia and prevertebral soft tissue edema were diminished by steroid administration, according to the results of two studies. In one study, prevertebral soft tissue edema was not affected by the steroid usage. Furthermore, short-term osseous fusion rate was impaired by the steroid administration, according to the findings of one study. The usage of steroids in patients undergoing anterior cervical spine procedures remains controversial. Multicenter, large-scale, randomized, prospective studies applying the same protocol of steroid administration and universal outcome criteria should be performed for extracting statistically powerful and clinically meaningful results.

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Forestier’s disease presenting with dysphagia and disphonia

Cited by 6 publications

References 20 publications

Multi-Level forestier syndrome in the cervical vertebra with an unusual radiographic appearance: Case report

Multi-Level forestier syndrome in the cervical vertebra with an unusual radiographic appearance: Case report

Prolonged Dysphagia due to a Combination of Cerebral Hemorrhage and Diffuse Idiopathic Skeletal Hyperostosis: A Case Report

The role of steroid administration in the management of dysphagia in anterior cervical procedures

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