Clinical Images  |   February 2017
Diffuse Idiopathic Skeletal Hyperostosis
Author Notes
  • From the Department of Internal Medicine at the McLaren Macomb Hospital in Mount Clemens, Michigan. Dr Saffo is a third-year resident. 
  •  *Address correspondence to Zaid Saffo, DO, 1000 Harrington Blvd, Mount Clemens, MI 48043-2920. E-mail: zaidsaffo@gmail.com
     
Article Information
Imaging / Neuromusculoskeletal Disorders / Clinical Images / Arthritis
Clinical Images   |   February 2017
Diffuse Idiopathic Skeletal Hyperostosis
The Journal of the American Osteopathic Association, February 2017, Vol. 117, 138. doi:10.7556/jaoa.2017.026
The Journal of the American Osteopathic Association, February 2017, Vol. 117, 138. doi:10.7556/jaoa.2017.026
A 74-year-old man with a history of diabetes mellitus and hypertension was found unresponsive in his home. The patient arrived at the emergency department after having cardiac arrest in the ambulance. He was admitted to the intensive care unit and ventilation was discontinued on hospital day 2. A positional stridor, hypoxia, and dysphagia were noticed after extubation. A computed tomographic image of the cervical spine showed anterior hyperostosis that was most prominent at C6-7 (image A, circle), which caused marked extrinsic compression of the esophagus and posterior trachea (image A and image B, arrows). An osteophyte excision was performed on day 10. The patient was able to maintain his own airway; however, dysphagia persisted and a percutaneous endoscopic gastrostomy tube was placed on day 15. On day 20, the patient was discharged to inpatient rehabilitation. Two months later, the tube was removed. 
First Page Preview
First page PDF preview
First page PDF preview ×
View Large

Subscribe to view more

For full access to this article, log in to an existing user account, purchase an annual subscription, or purchase a short-term subscription.

Order a subscription

Subscribe

Pay Per View

Entire Journal
30-Day Access

$30.00

Buy Now

This Issue
7-Day Access

$15.00

Buy Now

This article
24-Hour Access

$5.00

Buy Now

Sign In Or Create an account

Please sign in using your Osteopathic.org login.
If you do not have an AOA login, you may create a new account.

Or Subscribe