Cases reported "Spinal Osteophytosis"

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11/48. Coexistence of diffuse idiopathic skeletal hyperostosis and ankylosing spondylitis.

    To the best of our knowledge, only two patients with concurrent diffuse idiopathic skeletal hyperostosis (DISH) and ankylosing spondylitis (AS) have been reported so far. Here we present 3 patients in whom clinical and radiological findings indicative of DISH and AS coexisted. Two of these cases exhibited HLA B27. Although the presence of sacroiliitis would appear to exclude DISH, calcification and ossification of the anterior common vertebral ligament (ACVL) confirmed diagnosis of the latter disease.
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12/48. Diffuse idiopathic skeletal hyperostosis and situs viscerum inversus.

    We describe a 74-year-old woman with diffuse idiopathic skeletal hyperostosis (DISH) and situs viscerum inversus. The radiographic alterations typical of DISH were present only on the left side of her thoracic spine. The role of the thoracic aorta in preventing DISH adjacent to its side and some pathogenetic aspects of this skeletal disorder are discussed.
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13/48. Extensive spinal hyperostosis in a patient receiving isotretinoin--progression after 4 years of etretinate therapy.

    A patient with Darier's disease was discovered to have persistent, asymptomatic cervical and thoracic spinal hyperostoses after receiving isotretinoin for 7 years. The spinal abnormalities have remained asymptomatic but have now progressed following 4 years of etretinate therapy. The development of skeletal abnormalities, in particular spinal hyperostosis, is well-documented in patients receiving the synthetic retinoid, isotretinoin (Accutane, Roaccutane). The occurrence of extraspinal tendon and ligament calcification has been emphasized following long-term therapy with etretinate (Tegison, Tigason), but the relationship between etretinate and spinal hyperostosis is less certain, there being a need for a long-term, prospective, appropriately controlled investigation of patients receiving etretinate. We report a patient with Darier's disease who was discovered to have prominent, asymptomatic cervical and thoracic spinal hyperostoses after receiving isotretinoin for 7 years. Subsequent treatment with etretinate for 4 years did not prevent progression of the spinal abnormalities.
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14/48. Diffuse skeletal hyperostosis in idiopathic hypoparathyroidism.

    A case of idiopathic hypoparathyroidism (IHP) is reported with extensive ligamentous and tendinous ossification and soft tissue calcification. The pertinent radiological features of IHP and the unusual findings in this case are reviewed together with similar previously reported cases. Whether IHP is a causative or aggravating factor in the aetiology of the skeletal changes is discussed with particular reference to their similarity to diffuse idiopathic skeletal hyperostosis (DISH). We conclude that, in patients with an ossifying diathesis, IHP acts as a stimulant resulting in exuberant skeletal hyperostosis that is indistinguishable from DISH.
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15/48. Dysphagia due to diffuse idiopathic skeletal hyperostosis.

    Although diffuse idiopathic skeletal hyperostosis generally affects the lumbar spine, any segment of the spine may be involved. When the cervical spine is affected, dysphagia may occur. diabetes mellitus is commonly present. A history of previous cervical trauma is an indication to obtain cervical spine radiographs. barium swallow and endoscopy provide confirmation of etiology. Surgery is curative.
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16/48. Ossifying surgical scar in Forestier's disease.

    A case of heterotropic ossification of an abdominal surgical scar in a patient with spinal ankylosing hyperostosis is reported, and the pertinent literature reviewed.
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17/48. A variant of diffuse idiopathic skeletal hyperostosis: a case report.

    The case of an elderly man with a bamboo-like spine is presented. Because the patient's osteoporosis prevented proper evaluation of the sacroiliac and apophyseal joints on plain radiographs, the case originally was misdiagnosed in an outpatient clinic as ankylosing spondylitis. A further work-up showed the integrity of the apophyseal and sacroiliac joints, as well as cortical hyperostosis of the midcervical spine consistent with the diagnosis of diffuse idiopathic skeletal hyperostosis (DISH).
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18/48. Ossification of the plantar fascia and peroneus longus tendons in diffuse idiopathic skeletal hyperostosis (DISH).

    Extraspinal skeletal changes in diffuse idiopathic skeletal hyperostosis (DISH) consist of bony proliferation at ligamentous and tendinous insertions. We describe a patient with DISH who manifested ossific changes in the plantar fascia and peroneus longus tendon bilaterally at sites not immediately adjacent to the bony insertions of these structures. This observation expands the roentgenographic spectrum of DISH.
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19/48. Cervical myelopathy, ossification of the posterior longitudinal ligament, and diffuse idiopathic skeletal hyperostosis: problems in investigation.

    This report describes a patient presenting with a spastic quadriplegia who was found to have both diffuse idiopathic skeletal hyperostosis (DISH) and ossification of the posterior longitudinal ligament (OPLL) in the cervical spine. There was a dramatic worsening of his symptoms during a myelogram examination of the neck. It is suggested that computed tomographic imaging of the neck is the preferred investigative procedure if OPLL is suspected as a cause of cervical myelopathy.
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20/48. Sudden quadriplegia complicating ossification of the posterior longitudinal ligament and diffuse idiopathic skeletal hyperostosis.

    The association of ossification of the posterior longitudinal ligament (OPLL) and diffuse idiopathic skeletal hyperostosis (DISH) has been recently described. It may result in devastating compressive myelopathy. We report a case of quadriplegia complicating OPLL in a patient with DISH. In addition, we present a brief review of the literature on OPLL. This report illustrates the importance of appropriate neurologic and radiologic evaluation of persons with DISH, to help prevent severe neurologic complications.
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