ABSTRACT
A patient with a progressively increasing immobilisation of the cervical spine, severe impaired swallowing (choking), sore throat with referred right-sided otalgia, mild voice disorder and dysphagia due to extrinsic bone compression of the posterior hypopharyngeal wall and oesophagus is presented. Radiographic investigation demonstrated the underlying condition to be a diffuse idiopathic skeletal hyperostosis with prominent and bumpy alteration of the anterior longitudinal ligament impinging the hypopharynx. Via an anterolateral approach towards the cervical spine the anterior irregular part of the ossification was removed and the surface of the spine flattened. The postoperative evolution was uneventful.
Subject(s)
Cervical Vertebrae/surgery , Hyperostosis, Diffuse Idiopathic Skeletal/diagnosis , Hyperostosis, Diffuse Idiopathic Skeletal/surgery , Orthopedic Procedures/methods , Aged , Airway Obstruction/etiology , Airway Obstruction/physiopathology , Cervical Vertebrae/diagnostic imaging , Deglutition Disorders/etiology , Deglutition Disorders/physiopathology , Earache/etiology , Earache/physiopathology , Follow-Up Studies , Humans , Hyperostosis, Diffuse Idiopathic Skeletal/complications , Male , Pharyngitis/etiology , Pharyngitis/physiopathology , Risk Assessment , Severity of Illness Index , Tomography, X-Ray Computed , Treatment OutcomeABSTRACT
As reported before elastofibroma dorsi is a rare benign tumor of elastic connective tissue with typical clinical and suggestive radiological features. We evaluated the CT and MR characteristics of this periscapular lesion in a new case, before and after contrast enhancement, and tried to determine in how far the nature and extent of the tumor can be predicted.
