Lifesaving Treatment for DISH Syndrome in the Tenth Decade of Patient's Life.

Background/

Objectives

Diffuse idiopathic skeleton hyperostosis (DISH) is also known as Forestier-Rotes-Querol syndrome. The etiology of DISH is unknown. DISH is characterized by ossification of the anterior longitudinal ligaments of the spine. The area most frequently involved in the disease is the thoracic region of the spine. DISH in most cases is asymptomatic. If the cervical spine is involved, the most common symptoms are dysphagia and dyspnea. The ossifications in the cervical region of the spine are localized most frequently in its lower segments. Case presentation: The authors present the case of a 92-year-old cachectic female patient (body mass index (BMI) of 17; lost 13% of her body weight within the last 6 months). The patient underwent resection of the anterior osteophytes C2-T1.

Results

At one-year follow up, the patient had gained weight (BMI-20) and regained her ability to consume solid products. To our knowledge, this is the oldest patient treated surgically for DISH.

Conclusions

If dysphagia or dyspnea appears among elderly patients, cervical spine inspection should be conducted. If DISH is diagnosed safe, effective surgical treatment should be considered.