Dysphagia secondary to anterior cervical spine osteophytes

A 40-year-old woman, previously healthy, presented with a 6-month history of foreign body sensation of the pharynx with recent progressive dysphagia when swallowing both solid and liquid foods. A lateral cervical radiograph showed severe anterior osteophytosis on C3-C4, which was confirmed on comput...

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Main Authors: Ali Akhaddar, Mohammed Zalagh
Format: Article
Language:English
Published: The Pan African Medical Journal 2014-01-01
Series:The Pan African Medical Journal
Subjects:
Online Access: https://www.panafrican-med-journal.com/content/article/17/36/pdf/36.pdf
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author Ali Akhaddar
Mohammed Zalagh
author_facet Ali Akhaddar
Mohammed Zalagh
author_sort Ali Akhaddar
collection DOAJ
description A 40-year-old woman, previously healthy, presented with a 6-month history of foreign body sensation of the pharynx with recent progressive dysphagia when swallowing both solid and liquid foods. A lateral cervical radiograph showed severe anterior osteophytosis on C3-C4, which was confirmed on computed tomography scan (Figures A, B and C). The posterior pharyngeal wall was compressed by the anterior spurs at the C3-C4 level. Anterior resection of the ventral spinal osteophytes was performed via an antero-lateral extrapharyngeal approach. After the operation, the dysphagia resolved. Cervical osteophytes are common but osteophytes causing dysphagia due to compression of pharynx and oesophagus are unusual. The most common aetiologies are diffuse idiopathic skeletal hyperostosis (Forestier's disease) and ankylosing spondylitis. Initial treatment includes diet modifications, non-steroidal anti-inflammatory and muscle relaxants medications. Osteophytectomy may be considered in certain patients where conservative management fails. Stabilization of the spine is not advocated.
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spelling doaj.art-8450030d317e4525a0fca997b658cefd2022-12-22T01:34:08ZengThe Pan African Medical JournalThe Pan African Medical Journal1937-86881937-86882014-01-01173610.11604/pamj.2014.17.36.38433843Dysphagia secondary to anterior cervical spine osteophytesAli Akhaddar0Mohammed Zalagh Department of Neurosurgery, Avicenne Military Hospital, Marrakech, Morocco/University of Mohammed V Souissi, Rabat, Morocco/Department of Otorhinolaryngology, Moulay Ismail Military Hospital, Meknes, Morocco A 40-year-old woman, previously healthy, presented with a 6-month history of foreign body sensation of the pharynx with recent progressive dysphagia when swallowing both solid and liquid foods. A lateral cervical radiograph showed severe anterior osteophytosis on C3-C4, which was confirmed on computed tomography scan (Figures A, B and C). The posterior pharyngeal wall was compressed by the anterior spurs at the C3-C4 level. Anterior resection of the ventral spinal osteophytes was performed via an antero-lateral extrapharyngeal approach. After the operation, the dysphagia resolved. Cervical osteophytes are common but osteophytes causing dysphagia due to compression of pharynx and oesophagus are unusual. The most common aetiologies are diffuse idiopathic skeletal hyperostosis (Forestier's disease) and ankylosing spondylitis. Initial treatment includes diet modifications, non-steroidal anti-inflammatory and muscle relaxants medications. Osteophytectomy may be considered in certain patients where conservative management fails. Stabilization of the spine is not advocated. https://www.panafrican-med-journal.com/content/article/17/36/pdf/36.pdf dysphagiacervical spineosteophytes
spellingShingle Ali Akhaddar
Mohammed Zalagh
Dysphagia secondary to anterior cervical spine osteophytes
The Pan African Medical Journal
dysphagia
cervical spine
osteophytes
title Dysphagia secondary to anterior cervical spine osteophytes
title_full Dysphagia secondary to anterior cervical spine osteophytes
title_fullStr Dysphagia secondary to anterior cervical spine osteophytes
title_full_unstemmed Dysphagia secondary to anterior cervical spine osteophytes
title_short Dysphagia secondary to anterior cervical spine osteophytes
title_sort dysphagia secondary to anterior cervical spine osteophytes
topic dysphagia
cervical spine
osteophytes
url https://www.panafrican-med-journal.com/content/article/17/36/pdf/36.pdf
work_keys_str_mv AT aliakhaddar dysphagiasecondarytoanteriorcervicalspineosteophytes
AT mohammedzalagh dysphagiasecondarytoanteriorcervicalspineosteophytes