Asian Journal of Neurosurgery

CASE REPORT
Year
: 2020  |  Volume : 15  |  Issue : 1  |  Page : 218--221

Dysphagia in a young adult: Rare case of giant cervical osteophyte


Abhinandan Reddy Mallepally, Vikas Tandon, Harvinder Singh Chhabra 
 Department of Spine Services, Indian Spinal Injuries Centre, New Delhi, India

Correspondence Address:
Dr. Abhinandan Reddy Mallepally
Department of Spine Services, Indian Spinal Injuries Centre, Vasant Kunj, Sector C, New Delhi - 110 070
India

Cervical osteophytes may be seen in diffuse idiopathic skeletal hyperostosis, ankylosing spondylitis, posttraumatic, postoperative, degenerative causes, cervical spondylosis, and infectious spondylitis. A cervical osteophyte is very rarely considered among the differentials for symptoms of dysphagia. C5–C6 as well as C6–C7 being a site of greater load-bearing and mobility, the propensity to form osteophytes is high, with a small osteophyte leading to local mass effect. A 42-year-old male patient presented with mild dyspnea and significant dysphagia since 8 months, accompanied by dysphonia, weight loss, and intermittent aspiration. Clinical examination including neurological examination was normal. A barium swallow showed that osteophytes were severely protruding and displacing the lower pharynx and the proximal esophagus anterosuperiorly. The patient underwent surgical removal of the osteophyte through Smith–Robinson approach. Complaints of dysphagia were significantly decreased in postoperative period. A thorough evaluation is necessary to rule out other causes of dysphagia. Surgical management of this uncommon condition might be considered after confirmation of the osteophyte to be the offending lesion as it has favorable clinical outcomes.


How to cite this article:
Mallepally AR, Tandon V, Chhabra HS. Dysphagia in a young adult: Rare case of giant cervical osteophyte.Asian J Neurosurg 2020;15:218-221


How to cite this URL:
Mallepally AR, Tandon V, Chhabra HS. Dysphagia in a young adult: Rare case of giant cervical osteophyte. Asian J Neurosurg [serial online] 2020 [cited 2020 Aug 13 ];15:218-221
Available from: http://www.asianjns.org/article.asp?issn=1793-5482;year=2020;volume=15;issue=1;spage=218;epage=221;aulast=Mallepally;type=0