Updated management strategy for patients with cervical osteophytic dysphagia |
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| Authors: | Alex B Valadka MD Wayne S Kubal MD Maurice M Smith MD |
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| Institution: | (1) Division of Neurological Surgery, Medical College of Virginia, Richmond, Virginia, USA;(2) Division of Neuroradiology, Medical College of Virginia, Richmond, Virginia, USA;(3) Section of Neurosurgery, Hunter Holmes McGuire Veterans Administration Medical Center, Richmond, Virginia, USA;(4) Section of Neuroradiology, Hunter Holmes McGuire Veterans Administration Medical Center, Richmond, Virginia, USA;(5) Department of Neurosurgery, Baylor College of Medicine, One Baylor Plaza, 77030 Houston, Texas, USA |
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| Abstract: | Anterior cervical osteophytes impinging upon the pharynx or esophagus constitute a rare cause of dysphagia. In severe cases, surgical removal of these osteophytes can provide symptomatic relief. We describe a patient of this type who failed to improve postoperatively, only to be found subsequently to have a carcinoma of the base of the tongue. To assist other clinicians in evaluating similar patients, and also to emphasize the great utility of modern radiologic techniques in these cases, we propose a diagnostic algorithm that incorporates magnetic resonance or computerized tomographic imaging. |
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| Keywords: | Dysphagia Osteophyte Cervical spine Magnetic resonance imaging Carcinoma Surgery Deglutition Deglutition disorders |
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