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Russian Neurosurgical Journal named after Professor A. L. Polenov

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Diffuse idiopathic hyperostosis of the cervical spine with dysphagia: clinical observation

https://doi.org/10.56618/2071-2693_2024_16_1_141

EDN: EXUKAG

Abstract

Abstract Diffuse idiopathic skeletal hyperostosis or Forestier’s disease is a systemic, rare degenerative-dystrophic disease of the spine of unspecified etiology, characterized by ossification of the anterior longitudinal ligament of the thoracic, less commonly, cervical spine. This condition is more common in older patients and may be asymptomatic, except in cases of prolonged and severe course, accompanied by the development of dysphagia. To date, there are no uniform standards and recommendations for the management of patients with diffuse idiopathic skeletal hyperostosis, which significantly complicates the diagnosis and determination of the etiology of suddenly developing dysphagia in elderly patients. This paper presents a clinical case of a patient with Forestier disease, whose symptoms manifested as severe dysphagia; The features of diagnosis, course and surgical treatment of this disease are described.

About the Authors

A. V. Gorodnina
Polenov Neurosurgery Institute – the branch of Almazov National Medical Research Centre
Russian Federation

Gorodnina Angelina V.,

12, Mayakovskogo street, St. Petersburg, 191025.



A. S. Nazarov
Polenov Neurosurgery Institute – the branch of Almazov National Medical Research Centre
Russian Federation

Nazarov Alexander S.,

12, Mayakovskogo street, St. Petersburg, 191025.



N. A. Lesteva
Polenov Neurosurgery Institute – the branch of Almazov National Medical Research Centre
Russian Federation

Lesteva Nataliya А.,

12, Mayakovskogo street, St. Petersburg, 191025.



References

1. Singh A., Khatri G., Handa K. K. Unusual cause of dysphagia and dysphonia. British Medical Journal Case Reports. 2021 ;14(6):e243060. doi: 10.1136/bcr2021-243060.

2. Kuperus J. S., Mohamed Hoesein F. A. A., de Jong P. A., Verlaan J. J. Diffuse idiopathic sceletal hyperostosis: Etiology and clinical relevance. Best Practice and Research. Clinical Rheumatology. 2020;34(3):101527. doi: 10.1016/j.berh.2020.101527.

3. Гончаров М. Ю., Масютина Д. Д., Бирюков П. И. Особенности неврологической клиники, диагностики и результаты хирургического лечения оссифицирующего лигаментоза шейного отдела позвоночника (болезни Форестье) // Саратов. науч.-мед. журн. 2022. Т. 18, № 1. С. 102–107. [Goncharov M. Yu., Masyutina D. D., Biryukov P. I. Features of the neurological clinic, diagnosis and results of surgical treatment of ossifying ligamentosis of the cervical spine (Forestier’s disease). Saratov Journal of Medical Scientific Research. 2022;8(1):102–107. (In Russ.)]. EDN: SCOQWY

4. Matsuoka H., Ohashi S., Narikiyo M., Nogami R., Nagasaki H., Tsuboi Y. Dysphagia after occipital cervical fusion for retro-odontoid pseudotumor with ossification of the anterior longitudinal ligament. Surg Neurol Int. 2022;(13):184. doi: 10.25259/SNI_286_2022.

5. Кириленко С. И., Литвин А. А., Крыж С. А., Рожин В. В. Дисфагия как следствие компрессии пищевода остеофитами шейного отдела позвоночника. Новости хирургии. 2015;23 (6): 688-692 [Kirilenko, S. A. Kryzh, A. A. Litvin, V. V. Rozhin. Dysphagia as a Result of Esophageal Compression by the Cervical Osteophytes. Novosti Khirurgii. 2015;23 (6): 688-692 (In Russ.)] https://doi.org/10.18484/2305-0047.2015.6.688

6. Логинов Н. В. Диффузный идиопатический скелетный гиперостоз: сложности диагностики у пациента с дисфагией и диспноэ // Росс. медико-биолог. вестн. им. акад. И. П. Павлова. 2018. Т. 26, № 4. С. 528–532. [Loginov N. V. Diffuse idiopathic skeletal hyperostosis: difficulty of diagnosis in a patient with dysphagia and dyspnea. I.P . Pavlov Russian Medical Biological Herald. 2018;26(4):528–532. (In Russ.)]. doi: 10.23888/PAVLOVJ2018264528-532.

7. Tran D. D. T., Nguyen Q. B., Truong V. T., Truong T. D., Do Q. V., Vo D. P. Surgical Intervention of Dysphagia Caused by Ossification of Anterior Longitudinal Ligament: A Case Report. Asian J Neurosurg. 2022;17(3):485–488. doi: 10.1055/s-0042-1757214.

8. Белкин А. А., Алашеев А. М., Белкин В. А. и др. Реабилитация в отделении реанимации и интенсивной терапии (РеабИТ): методические рекомендации Союза реабилитологов России и Федерации анестезиологов и реаниматологов // Вестн. интенсивной терапии им. А. И. Салтанова. 2022. № 2. С. 7–40. [Belkin A. A., Alasheev A. M., Belkin V. A. et al. Rehabilitation in the intensive care unit (RehabICU).Clinical practice recommendations of the national Union of Physical and Rehabilitation Medicine Specialists of Russia and of the national Federation of Anesthesiologists and Reanimatologists. Russian Federation of anesthesiologists and reanimatologists guidelines. Annals of Critical Care. 2022;(2):7–40. (In Russ.)]. https://doi.org/10.21320/1818-474X-2022-2-7-40

9. Harlianto N. I., Kuperus J. S., Mohamed Hoesein F. A. A., de Jong P. A., de Ru J. A., Öner F. C., Verlaan J. J. Diffuse idiopathic skeletal hyperostosis of the cervical spine causing dysphagia and airway obstruction: an systematic review. The spine journal. 2022;22(9):1490–1503. doi: 10.1016/j.spinee.2022.03.002.

10. Dąbrowski M., Kubaszewski Ł. Diffuse Idiopathic Skeletal Hyperostosis of Cervical Spine with Dysphagia-Molecular and Clinical Aspects. International Journal of Molecular Sciences. 2021;22(8):4255. doi: 10.3390/ijms22084255.

11. Resnick D., Niwayama G. Radiographic and pathologic features of spinal involvement in diffuse idiopathic skeletal hyperostosis (DISH).Radiology. 1976;(119):559– 568. doi: 10.1148/119.3.559.

12. Barile A. Imaging Characteristics of Diffuse Idiopathic Skeletal Hyperostosis: More Than Just Spinal Bony Bridges. Diagnostics (Basel). 2023; 13(3):563. doi: 10.3390/diagnostics13030563.

13. Скрябина Е. Н., Магдеева Н. А., Корнева Ю. М. Анкилозирующий гиперостоз позвоночника, или болезнь Форестье: трудности диагностики или недостаточная осведомленность? // Архивъ внутренней медицины. 2020. Т. 1, № 51. С. 68–73. [Skryabina E. N., Magdeeva N. A., Korneva Yu. M. Ankylosing spinal hyperostosis, or Forestier’s disease: diagnostic difficulties or lack of awareness?. Archive of Internal Medicine. (In Russ.)]. doi: 10.20514/2226-6704-2020-10-1-68-73.


Review

For citations:


Gorodnina A.V., Nazarov A.S., Lesteva N.A. Diffuse idiopathic hyperostosis of the cervical spine with dysphagia: clinical observation. Russian Neurosurgical Journal named after Professor A. L. Polenov. 2024;16(1):141-147. (In Russ.) https://doi.org/10.56618/2071-2693_2024_16_1_141. EDN: EXUKAG

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ISSN 2071-2693 (Print)