Share This Article:

Double Cervical Bird Beak Sign Resulting in Dysphagia

Abstract Full-Text HTML XML Download Download as PDF (Size:578KB) PP. 63-65
DOI: 10.4236/ojmn.2013.34014    3,239 Downloads   4,946 Views  

ABSTRACT

Objective: The authors report a rare case of ossification of the anterior longitudinal ligament in the cervical spine underlying dysphagia. Case Report: We report the case of a 50-year-old male presenting with difficulty swallowing and choking. CT of the cervical spine demonstrated anterior longitudinal ligament hypertrophy with osteophytes worst at C1-C2 and C6-C7, without spinal cord compression. A videofluoroscopic swallow study revealed reduced epiglottic inversion and hyolaryngeal elevation resulting in incomplete clearance from the pharynx, as well as compression of the esophagus. Subsequently, the patient underwent osteophytectomy. There were no intraoperative or postoperative complications. Two weeks after the surgery, videofluoroscopic swallow demonstrated improved function and reduced compression. Four weeks postoperatively, the patient completely regained swallowing function without pain.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

A. Yurter and P. E. Kaloostian, "Double Cervical Bird Beak Sign Resulting in Dysphagia," Open Journal of Modern Neurosurgery, Vol. 3 No. 4, 2013, pp. 63-65. doi: 10.4236/ojmn.2013.34014.

References

[1] S. Srivastava, N. Ciapryna and I. Bovill, “Diffuse Idiopathic Skeletal Hyperostosis as an Overlooked Cause of Dysphagia: A Case Report,” Journal of Medical Case Reports, Vol. 2, 2008, p. 287.
[2] T. P. Fox, M. K. Desai, T. Cavenagh and E. Mew, “Diffuse Idiopathic Skeletal Hyperostosis: A Rare Cause of Dysphagia and Dysphonia,” BMJ Case Reports, 2013.
[3] R. R. McCafferty, M. J. Harrison, L. B. Tamas and M. V. Larkins, “Ossification of the Anterior Longitudinal Ligament and Forestier’s Disease: An Analysis of Seven Cases,” Journal of Neurosurgery, Vol. 83, No. 1, 1995, pp. 13-17. http://dx.doi.org/10.3171/jns.1995.83.1.0013
[4] P. Lecerf and O. Malard, “How to Diagnose and Treat Symptomatic Anterior Cervical Osteophytes?” European Annals of Otorhinolaryngology, Head and Neck Diseases, Vol. 127, No. 3, 2010, pp. 111-116. http://dx.doi.org/10.1016/j.anorl.2010.05.002
[5] B. Mazieres, “Diffuse Idiopathic Skeletal Hyperostosis (Forestier-Rotes-Querol Disease): What’s New?” Joint Bone Spine, 2013. http://dx.doi.org/10.1016/j.jbspin.2013.02.011
[6] D. Resnick and G. Niwayama, “Radiographic and Pathologic Features of Spinal Involvement in Diffuse Idiopathic Skeletal Hyperostosis (DISH),” Radiology, Vol. 119, No. 3, 1976, pp. 559-568.
[7] D. Resnick, S. R. Shaul and J. M. Robins, “Diffuse Idiopathic Skeletal Hyperostosis (DISH): Forestier’s Disease with Extraspinal Manifestations,” Radiology, Vol. 115, No. 3, 1975, pp. 513-524.
[8] D. Resnick, R. Shapiro, K. Wesner, G. Niwayama, P. Utsinger and S. Shaul, “Diffuse Idiopathic Skeletal Hyperostosis (DISH),” Seminars in Arthritis and Rheumatism, Vol. 7, No. 3, 1978, pp. 153-187. http://dx.doi.org/10.1016/0049-0172(78)90036-7
[9] S. Ozgocmen, A. Kiris, E. Kocakoc and O. Ardicoglu, “Osteophyte-Induced Dysphagia: Report of Three Cases,” Joint Bone Spine, Vol. 69, No. 2, 2002, pp. 226-229. http://dx.doi.org/10.1016/S1297-319X(02)00377-9
[10] J. Urrutia and C. M. Bono, “Long-Term Results of Surgical Treatment of Dysphagia Secondary to Cervical Diffuse Idiopathic Skeletal Hyperostosis,” Spine Journal, Vol. 9, No. 9, 2009, pp. e13-e17. http://dx.doi.org/10.1016/j.spinee.2009.04.006
[11] J. Song, J. Mizuno and H. Nakagawa, “Clinical and Radiological Analysis of Ossification of the Anterior Longitudinal Ligament Causing Dysphagia and Hoarseness,” Neurosurgery, Vol. 58, No. 5, 2006, pp. 913-919. http://dx.doi.org/10.1227/01.NEU.0000209936.46946.99

  
comments powered by Disqus

Copyright © 2018 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.