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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Format: | Article |
Language: | English |
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The Pan African Medical Journal
2014-01-01
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Series: | The Pan African Medical Journal |
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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. |
first_indexed | 2024-12-10T20:49:10Z |
format | Article |
id | doaj.art-8450030d317e4525a0fca997b658cefd |
institution | Directory Open Access Journal |
issn | 1937-8688 1937-8688 |
language | English |
last_indexed | 2024-12-10T20:49:10Z |
publishDate | 2014-01-01 |
publisher | The Pan African Medical Journal |
record_format | Article |
series | The Pan African Medical Journal |
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
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work_keys_str_mv | AT aliakhaddar dysphagiasecondarytoanteriorcervicalspineosteophytes AT mohammedzalagh dysphagiasecondarytoanteriorcervicalspineosteophytes |