Accepted Manuscript Giant anterior cervical osteophytes leading to dysphagia in a patient with diffuse idiopathic skeletal hyperostosis Hayri Ogul, MD Kutsi Tuncer, MD Vahit Mutlu, MD Yusuf Gedikli, MD Mecit Kantarci, MD, PhD PII:

S1529-9430(14)00384-2

DOI:

10.1016/j.spinee.2014.04.008

Reference:

SPINEE 55859

To appear in:

The Spine Journal

Received Date: 27 March 2014 Accepted Date: 9 April 2014

Please cite this article as: Ogul H, Tuncer K, Mutlu V, Gedikli Y, Kantarci M, Giant anterior cervical osteophytes leading to dysphagia in a patient with diffuse idiopathic skeletal hyperostosis, The Spine Journal (2014), doi: 10.1016/j.spinee.2014.04.008. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

ACCEPTED MANUSCRIPT Giant anterior cervical osteophytes leading to dysphagia in a patient with diffuse idiopathic skeletal hyperostosis

(MD), Mecit Kantarci1 (MD, PhD)

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Hayri Ogul1 (MD), Kutsi Tuncer2 (MD), Vahit Mutlu3 (MD), Yusuf Gedikli1

Department of Radiology, Medical Faculty, Ataturk University,

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Erzurum, Turkey

Department of Orthopaedic Surgery, Medical Faculty, Ataturk University,

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Erzurum, Turkey 3

Department of Otolaryngology, Medical Faculty, Ataturk University,

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Erzurum, Turkey

Running title: Diffuse idiopathic skeletal hyperostosis

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Dr. Hayri Ogul

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Correspondence:

Department of Radiology Faculty of Medicine Ataturk University

25240 Erzurum, Turkey Tlf: +90 442 2316751 Fax: +90 442 2361014 Email: [email protected]

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Giant anterior cervical osteophytes leading to dysphagia in a patient with

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diffuse idiopathic skeletal hyperostosis

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A 64-year-old female patient was referred to our radiology department with the

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complaints of severe neck pain and difficulty swallowing for five years. She had no

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history of trauma to the neck. Endoscopic examination revealed a protrusion located

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through the posterior wall of the oro-hypopharynx. The initial diagnosis was an oro-

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hypopharyngeal neoplasm and magnetic resonance (MR) imaging was performed.

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MR imaging of the neck showed giant anterior osteophytes without spinal cord

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compression and bulging of the posterior oro-hypopharyngeal wall (Fig. 1).

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Computed tomography (CT) of the cervical spine demonstrated anterior longitudinal

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ligament hypertrophy with giant anterior osteophytes (Fig. 1).

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Figure Legends

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Fig. 1: Sagittal T2-weighted MR imagning of the neck reveals bulging of the posterior

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oro-hypopharyngeal wall by giant osteophytes (arrows).

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Fig. 2: Sagittal reformat CT scan of the cervical spine demonstrates anterior

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longitudinal ligament hypertrophy with largest osteophytes.

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ACCEPTED MANUSCRIPT

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ACCEPTED MANUSCRIPT

Giant anterior cervical osteophytes leading to dysphagia in a patient with diffuse idiopathic skeletal hyperostosis.

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