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DISH
B.J. Manaster, MD, PhD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Clinical Issues

        TERMINOLOGY

        • Abbreviations

          • Diffuse idiopathic skeletal hyperostosis (DISH)
        • Synonyms

          • Forestier disease, ankylosing hyperostosis
        • Definitions

          • Bone-forming diathesis primarily affecting spine, with ossification of tendons and ligaments

        IMAGING

        • General Features

          • Imaging Recommendations

            • Radiographic Findings

              • CT Findings

                • MR Findings

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • General Features

                      • Gross Pathologic & Surgical Features

                        • Microscopic Features

                          • Diagnostic Criteria, Radiographic Only

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                • Natural History & Prognosis

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Consider

                                      • Image Interpretation Pearls

                                        Selected References

                                        1. Carmona R et al: MR imaging of the spine and sacroiliac joints for spondyloarthritis: influence on clinical diagnostic confidence and patient management. Radiology. 269(1):208-15, 2013
                                        2. Campagna R et al: Fractures of the ankylosed spine: MDCT and MRI with emphasis on individual anatomic spinal structures. AJR Am J Roentgenol. 192(4):987-95, 2009
                                        3. Westerveld LA et al: Spinal fractures in patients with ankylosing spinal disorders: a systematic review of the literature on treatment, neurological status and complications. Eur Spine J. 18(2):145-56, 2009
                                        4. Gokce A et al: Diffuse idiopathic skeletal hyperostosis as a cause of acute respiratory distress in early postoperative period of total knee arthroplasty. Arch Orthop Trauma Surg. 127(7):553-5, 2007
                                        5. Aydin E et al: Six cases of Forestier syndrome, a rare cause of dysphagia. Acta Otolaryngol. 126(7):775-8, 2006
                                        6. Ghosh B et al: Diffuse interstitial skeletal hyperostosis (DISH) in type 2 diabetes. J Assoc Physicians India. 52:994-6, 2004
                                        7. Mader R: Clinical manifestations of diffuse idiopathic skeletal hyperostosis of the cervical spine. Semin Arthritis Rheum. 32(2):130-5, 2002
                                        8. Ehara S et al: Cervical spine injury in the elderly: imaging features. Skeletal Radiol. 30(1):1-7, 2001
                                        9. Razmi R et al: Cervical cord injury in an elderly man with a fused spine--a case report. Singapore Med J. 42(10):477-81, 2001
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Terminology

                                          • Imaging

                                            • Clinical Issues

                                              TERMINOLOGY

                                              • Abbreviations

                                                • Diffuse idiopathic skeletal hyperostosis (DISH)
                                              • Synonyms

                                                • Forestier disease, ankylosing hyperostosis
                                              • Definitions

                                                • Bone-forming diathesis primarily affecting spine, with ossification of tendons and ligaments

                                              IMAGING

                                              • General Features

                                                • Imaging Recommendations

                                                  • Radiographic Findings

                                                    • CT Findings

                                                      • MR Findings

                                                        DIFFERENTIAL DIAGNOSIS

                                                          PATHOLOGY

                                                          • General Features

                                                            • Gross Pathologic & Surgical Features

                                                              • Microscopic Features

                                                                • Diagnostic Criteria, Radiographic Only

                                                                  CLINICAL ISSUES

                                                                  • Presentation

                                                                    • Demographics

                                                                      • Natural History & Prognosis

                                                                        • Treatment

                                                                          DIAGNOSTIC CHECKLIST

                                                                          • Consider

                                                                            • Image Interpretation Pearls

                                                                              Selected References

                                                                              1. Carmona R et al: MR imaging of the spine and sacroiliac joints for spondyloarthritis: influence on clinical diagnostic confidence and patient management. Radiology. 269(1):208-15, 2013
                                                                              2. Campagna R et al: Fractures of the ankylosed spine: MDCT and MRI with emphasis on individual anatomic spinal structures. AJR Am J Roentgenol. 192(4):987-95, 2009
                                                                              3. Westerveld LA et al: Spinal fractures in patients with ankylosing spinal disorders: a systematic review of the literature on treatment, neurological status and complications. Eur Spine J. 18(2):145-56, 2009
                                                                              4. Gokce A et al: Diffuse idiopathic skeletal hyperostosis as a cause of acute respiratory distress in early postoperative period of total knee arthroplasty. Arch Orthop Trauma Surg. 127(7):553-5, 2007
                                                                              5. Aydin E et al: Six cases of Forestier syndrome, a rare cause of dysphagia. Acta Otolaryngol. 126(7):775-8, 2006
                                                                              6. Ghosh B et al: Diffuse interstitial skeletal hyperostosis (DISH) in type 2 diabetes. J Assoc Physicians India. 52:994-6, 2004
                                                                              7. Mader R: Clinical manifestations of diffuse idiopathic skeletal hyperostosis of the cervical spine. Semin Arthritis Rheum. 32(2):130-5, 2002
                                                                              8. Ehara S et al: Cervical spine injury in the elderly: imaging features. Skeletal Radiol. 30(1):1-7, 2001
                                                                              9. Razmi R et al: Cervical cord injury in an elderly man with a fused spine--a case report. Singapore Med J. 42(10):477-81, 2001