Computed tomography for the diagnosis and management of idiopathic cervical spine hyperostosis

Swallowing disorders due to diffuse idiopathic skeletal hyperostosis (diSh) often remain undetected, even if symptoms increase over the years. We present the case of a 72-year-old woman with an eight-year swallowing disorder history. a cervical spine ct highlighted the hyperostosis with a consequent anterior displacement of oropharynx. authors used the Mader Classification in the DISH evaluation, according to a multidisciplinary approach of the disease. The patient suffering from hypertension, but not from diabetes mellitus and presented a BMi of 23 kg/m2. a conservative approach was used; nSaids contributed to effective analgesia and the treatment was well accepted from the patient, also during the investigation of a comfortable position; however, these drugs are not able to improve the degree of movements. a longterm treatment is difficult and during the disease progression, loss of weight, dyspnea, dysphonia and/or food aspiration may occur.