Journal of Korean Society of Geriatric Neurosurgery 2011;7(2):184-187.
Published online September 30, 2011.
Dysphagia and Aspiration Pneumonia Caused by Anterior Cervical Osteophyte in Elderly Patients
Ho-Joong Lee , Hyung-Jin Lee , Ji-Ho Yang , Hong-Jae Lee , Jin-seok Yi , Il-Woo Lee
Department of Neurosurgery, Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea
노인에서 발생한 경추부 전방 골극에 의한 연하장애 및 흡인성 폐렴
가톨릭대학교 의과대학 대전성모병원 신경외과학교실
Patients who suffer from swallowing difficulty and aspiration pneumonia owing to progressive cervical bony spur overgrowth (Forestier’s syndrome, diffuse idiopathic skeletal hyperostosis) can be cured by prompt surgery. Two patients visited clinics for swallowing difficulty and aspiration pneumonia and were operated on to reduce the mechanical burden of the bony mass. After an operation of anterior cervical approach and decompressive osteophytectomy, the two patients showed a full recovery of their swallowing difficulties and aspiration to trachea. If a patient complains of dysphagia and aspiration pneumonia, early surgery is recommended to reduce the mechanical burden which can cause distruption of the esophageal neural plexus and inflammatory changes.
Key Words: Aspiration pneumoniaㆍDiffuse idiopathic skeletal hyperostosisㆍDysphagiaㆍForestier’s diseaseㆍOsteophyte

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