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Diffuse Idiopathic Skeletal Hyperostosis (DISH), Cervical Spine
Cheryl A. Petersilge, MD, MBA
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KEY FACTS

  • Imaging

    • Top Differential Diagnoses

      • Pathology

        • Clinical Issues

          TERMINOLOGY

          • Abbreviations

            • Diffuse idiopathic skeletal hyperostosis (DISH)
          • Synonyms

            • Forestier disease, senile ankylosing hyperostosis, asymmetrical skeletal hyperostosis

          IMAGING

          • General Features

            • Radiographic Findings

              • Fluoroscopic Findings

                • CT Findings

                  • MR Findings

                    • Nonvascular Interventions

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Staging, Grading, & Classification

                              • Gross Pathologic & Surgical Features

                                • Microscopic Features

                                  CLINICAL ISSUES

                                  • Presentation

                                    • Demographics

                                      • Natural History & Prognosis

                                        • Treatment

                                          DIAGNOSTIC CHECKLIST

                                          • Consider

                                            • Image Interpretation Pearls

                                              Selected References

                                              1. Carlson ML et al: Surgical management of dysphagia and airway obstruction in patients with prominent ventral cervical osteophytes. Dysphagia. 26(1):34-40, 2011
                                              2. Verlaan JJ et al: Diffuse idiopathic skeletal hyperostosis of the cervical spine: an underestimated cause of dysphagia and airway obstruction. Spine J. 11(11):1058-67, 2011
                                              3. Storch MJ et al: Cervical myelopathy caused by soft-tissue mass in diffuse idiopathic skeletal hyperostosis. Eur Spine J. 17 Suppl 2:S243-7, 2008
                                              4. Pascal-Moussellard H et al: Myelopathy by lesions of the craniocervical junction in a patient with forestier disease. Spine (Phila Pa 1976). 31(16):E557-60, 2006
                                              5. Jun BY et al: Retro-odontoid pseudotumor in diffuse idiopathic skeletal hyperostosis. Spine (Phila Pa 1976). 27(10):E266-70, 2002
                                              6. Patel NP et al: Forestier disease associated with a retroodontoid mass causing cervicomedullary compression. J Neurosurg. 96(2 Suppl):190-6, 2002
                                              7. Chiba H et al: Atlantoaxial subluxation complicated by diffuse idiopathic skeletal hyperostosis. A case report. Spine (Phila Pa 1976). 17(11):1414-7, 1992
                                              8. Crockard HA et al: Damaged ligaments at the craniocervical junction presenting as an extradural tumour: a differential diagnosis in the elderly. J Neurol Neurosurg Psychiatry. 54(9):817-21, 1991
                                              9. Resnick D et al: Association of diffuse idiopathic skeletal hyperostosis (DISH) and calcification and ossification of the posterior longitudinal ligament. AJR Am J Roentgenol. 131(6):1049-53, 1978
                                              Related Anatomy
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                                              Related Differential Diagnoses
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                                              References
                                              Tables

                                              Tables

                                              KEY FACTS

                                              • Imaging

                                                • Top Differential Diagnoses

                                                  • Pathology

                                                    • Clinical Issues

                                                      TERMINOLOGY

                                                      • Abbreviations

                                                        • Diffuse idiopathic skeletal hyperostosis (DISH)
                                                      • Synonyms

                                                        • Forestier disease, senile ankylosing hyperostosis, asymmetrical skeletal hyperostosis

                                                      IMAGING

                                                      • General Features

                                                        • Radiographic Findings

                                                          • Fluoroscopic Findings

                                                            • CT Findings

                                                              • MR Findings

                                                                • Nonvascular Interventions

                                                                  • Imaging Recommendations

                                                                    DIFFERENTIAL DIAGNOSIS

                                                                      PATHOLOGY

                                                                      • General Features

                                                                        • Staging, Grading, & Classification

                                                                          • Gross Pathologic & Surgical Features

                                                                            • Microscopic Features

                                                                              CLINICAL ISSUES

                                                                              • Presentation

                                                                                • Demographics

                                                                                  • Natural History & Prognosis

                                                                                    • Treatment

                                                                                      DIAGNOSTIC CHECKLIST

                                                                                      • Consider

                                                                                        • Image Interpretation Pearls

                                                                                          Selected References

                                                                                          1. Carlson ML et al: Surgical management of dysphagia and airway obstruction in patients with prominent ventral cervical osteophytes. Dysphagia. 26(1):34-40, 2011
                                                                                          2. Verlaan JJ et al: Diffuse idiopathic skeletal hyperostosis of the cervical spine: an underestimated cause of dysphagia and airway obstruction. Spine J. 11(11):1058-67, 2011
                                                                                          3. Storch MJ et al: Cervical myelopathy caused by soft-tissue mass in diffuse idiopathic skeletal hyperostosis. Eur Spine J. 17 Suppl 2:S243-7, 2008
                                                                                          4. Pascal-Moussellard H et al: Myelopathy by lesions of the craniocervical junction in a patient with forestier disease. Spine (Phila Pa 1976). 31(16):E557-60, 2006
                                                                                          5. Jun BY et al: Retro-odontoid pseudotumor in diffuse idiopathic skeletal hyperostosis. Spine (Phila Pa 1976). 27(10):E266-70, 2002
                                                                                          6. Patel NP et al: Forestier disease associated with a retroodontoid mass causing cervicomedullary compression. J Neurosurg. 96(2 Suppl):190-6, 2002
                                                                                          7. Chiba H et al: Atlantoaxial subluxation complicated by diffuse idiopathic skeletal hyperostosis. A case report. Spine (Phila Pa 1976). 17(11):1414-7, 1992
                                                                                          8. Crockard HA et al: Damaged ligaments at the craniocervical junction presenting as an extradural tumour: a differential diagnosis in the elderly. J Neurol Neurosurg Psychiatry. 54(9):817-21, 1991
                                                                                          9. Resnick D et al: Association of diffuse idiopathic skeletal hyperostosis (DISH) and calcification and ossification of the posterior longitudinal ligament. AJR Am J Roentgenol. 131(6):1049-53, 1978