eMedicine Specialties > Radiology > Musculoskeletal

Diffuse Idiopathic Skeletal Hyperostosis: Multimedia

Author: Khozaim Nakhoda, MD, MBBS, DRM, Director of Nuclear Medicine, Department of Radiology, Crozer Chester Medical Center
Coauthor(s): Gary S Greene, MD, FACNM, Attending Radiologist, Director of PET/CT Imaging Section, and Chief of Nuclear Medicine, Pennsylvania Hospital; Clinical Associate Professor of Radiology, University of Pennsylvania School of Medicine
Contributor Information and Disclosures

Updated: Aug 17, 2009

Multimedia

Radiograph of the lumbosacral spine (anteroposter...Media file 1: Radiograph of the lumbosacral spine (anteroposterior view) showing flowing osteophytes and soft-tissue ligamentous ossification consistent with diffuse idiopathic skeletal hyperostosis.
Radiograph of the lumbosacral spine (anteroposter...

Radiograph of the lumbosacral spine (anteroposterior view) showing flowing osteophytes and soft-tissue ligamentous ossification consistent with diffuse idiopathic skeletal hyperostosis.

Radiograph of the lumbosacral spine (lateral vie...Media file 2: Radiograph of the lumbosacral spine (lateral view) showing flowing anterior osteophytes indicative of diffuse idiopathic skeletal hyperostosis.
Radiograph of the lumbosacral spine (lateral vie...

Radiograph of the lumbosacral spine (lateral view) showing flowing anterior osteophytes indicative of diffuse idiopathic skeletal hyperostosis.

Radiograph of the thoracic spine (anteroposterior...Media file 3: Radiograph of the thoracic spine (anteroposterior view) showing osteophytes on the right side only, a feature typical of diffuse idiopathic skeletal hyperostosis.
Radiograph of the thoracic spine (anteroposterior...

Radiograph of the thoracic spine (anteroposterior view) showing osteophytes on the right side only, a feature typical of diffuse idiopathic skeletal hyperostosis.

Lateral reconstruction computed tomography (CT) s...Media file 4: Lateral reconstruction computed tomography (CT) scan showing anterior syndesmophytes.
Lateral reconstruction computed tomography (CT) s...

Lateral reconstruction computed tomography (CT) scan showing anterior syndesmophytes.

Bone scan showing heterogeneous, nonspecific incr...Media file 5: Bone scan showing heterogeneous, nonspecific increased uptake in the spine with 2 additional focal hotspots.
Bone scan showing heterogeneous, nonspecific incr...

Bone scan showing heterogeneous, nonspecific increased uptake in the spine with 2 additional focal hotspots.

Sagittal, T2-weighted magnetic resonance image of...Media file 6: Sagittal, T2-weighted magnetic resonance image of the cervical spine showing ossification of the posterior longitudinal ligament. Courtesy of A. Vincent Thamburaj, MD, Apollo Hospital, Chennai, India.
Sagittal, T2-weighted magnetic resonance image of...

Sagittal, T2-weighted magnetic resonance image of the cervical spine showing ossification of the posterior longitudinal ligament. Courtesy of A. Vincent Thamburaj, MD, Apollo Hospital, Chennai, India.

Computed tomography (CT) scans showing large, flo...Media file 7: Computed tomography (CT) scans showing large, flowing syndesmophytes.
Computed tomography (CT) scans showing large, flo...

Computed tomography (CT) scans showing large, flowing syndesmophytes.

More on Diffuse Idiopathic Skeletal Hyperostosis

Overview: Diffuse Idiopathic Skeletal Hyperostosis
Imaging: Diffuse Idiopathic Skeletal Hyperostosis
Multimedia: Diffuse Idiopathic Skeletal Hyperostosis
References
Further Reading

References

  1. Whang PG, Goldberg G, Lawrence JP, Hong J, Harrop JS, Anderson DG, et al. The management of spinal injuries in patients with ankylosing spondylitis or diffuse idiopathic skeletal hyperostosis: a comparison of treatment methods and clinical outcomes. J Spinal Disord Tech. Apr 2009;22(2):77-85. [Medline].

  2. Mader R, Lavi I. Diabetes mellitus and hypertension as risk factors for early diffuse idiopathic skeletal hyperostosis (DISH). Osteoarthritis Cartilage. Jun 2009;17(6):825-8. [Medline].

  3. Westerveld LA, van Ufford HM, Verlaan JJ, Oner FC. The prevalence of diffuse idiopathic skeletal hyperostosis in an outpatient population in The Netherlands. J Rheumatol. Aug 2008;35(8):1635-8. [Medline].

  4. Vezyroglou G, Mitropoulos A, Antoniadis C. A metabolic syndrome in diffuse idiopathic skeletal hyperostosis. A controlled study. J Rheumatol. Apr 1996;23(4):672-6. [Medline].

  5. Cammisa M, De Serio A, Guglielmi G. Diffuse idiopathic skeletal hyperostosis. Eur J Radiol. May 1998;27 Suppl 1:S7-11. [Medline].

  6. Dar G, Peleg S, Masharawi Y, et al. The association of sacroiliac joint bridging with other enthesopathies in the human body. Spine. May 1 2007;32(10):E303-8. [Medline].

  7. Resnick D, Guerra J Jr, Robinson CA, et al. Association of diffuse idiopathic skeletal hyperostosis (DISH) and calcification and ossification of the posterior longitudinal ligament. AJR Am J Roentgenol. Dec 1978;131(6):1049-53. [Medline][Full Text].

  8. Akhtar S, O'Flynn PE, Kelly A, et al. The management of dysphasia in skeletal hyperostosis. J Laryngol Otol. Feb 2000;114(2):154-7. [Medline].

  9. Leon JA, Calamia KT, Leventhal JP. Chronic obstructive pneumonia caused by a vertebral body osteophyte. Mayo Clin Proc. Feb 2000;75(2):185-8. [Medline].

  10. Yoshida M, Kibe A, Aizawa H, et al. [Diffuse idiopathic skeletal hyperostosis with fibrobullous change in upper lung lobes and dyspnea due to limitation of thoracic cage]. Nihon Kokyuki Gakkai Zasshi. Oct 1999;37(10):823-8. [Medline].

  11. Le Hir PX, Sautet A, Le Gars L, et al. Hyperextension vertebral body fractures in diffuse idiopathic skeletal hyperostosis: a cause of intravertebral fluidlike collections on MR imaging. AJR Am J Roentgenol. Dec 1999;173(6):1679-83. [Medline][Full Text].

  12. Verdone F. Anterior atlantoaxial subluxation in a patient with DISH. J Rheumatol. Jul 1999;26(7):1639-40. [Medline].

  13. Papakostas K, Thakar A, Nandapalan V, et al. An unusual case of stridor due to osteophytes of the cervical spine: (Forestier's disease). J Laryngol Otol. Jan 1999;113(1):65-7. [Medline].

  14. Verstraete WL, De Cauwer HG, Verhulst D, et al. Vocal cord immobilisation in diffuse idiopathic skeletal hyperostosis (DISH). Acta Otorhinolaryngol Belg. 1998;52(1):79-84. [Medline].

  15. Scapinelli R. Compression of the inferior vena cava due to diffuse idiopathic skeletal hyperostosis. Rev Rhum Engl Ed. Mar 1997;64(3):198-201. [Medline].

  16. Fahrer H, Koch P, Ballmer P, et al. Ectopic ossification following total hip arthroplasty: is diffuse idiopathic skeletal hyperostosis a risk factor?. Br J Rheumatol. Jun 1988;27(3):187-90. [Medline].

  17. Nishimura Y, Mochizuki T, Negoro K, et al. [A case of diffuse idiopathic skeletal hyperostosis (DISH) with various neurological complications]. Nippon Ronen Igakkai Zasshi. Mar 1996;33(3):186-90. [Medline].

  18. Weisz GM. Ossifying surgical scar in Forestier's disease. Int Surg. Jul-Sep 1985;70(3):273. [Medline].

  19. Ciocci A, Buratti L, Maurelli G. [Vertebral hyperostosis and hyperostosis frontalis interna]. Rev Rhum Mal Osteoartic. Apr 1985;52(4):227-30. [Medline].

  20. Cassim B, Mody GM, Rubin DL. The prevalence of diffuse idiopathic skeletal hyperostosis in African blacks. Br J Rheumatol. Apr 1990;29(2):131-2. [Medline].

  21. Kiss C, Szilagyi M, Mituszova M, et al. [Prevalence and risk factors in diffuse idiopathic skeletal hyperostosis in a population sample in Hungary]. Orv Hetil. Jun 22 1997;138(25):1619-23. [Medline].

  22. Al-Herz A, Snip JP, Clark B, et al. Exercise therapy for patients with diffuse idiopathic skeletal hyperostosis. Clin Rheumatol. Sep 21 2007;[Medline].

  23. Battaglia M, Zompatori M, Nassetti C, et al. [An unusual cause of nocturnal orthopnea: Forestier's cervical hyperostosis spondylopathy]. Radiol Med (Torino). Jul-Aug 1996;92(1-2):135-7. [Medline].

  24. Miyazawa N, Akiyama I. Diffuse idiopathic skeletal hyperostosis associated with risk factors for stroke: a case-control study. Spine. Apr 15 2006;31(8):E225-9; discussion E230. [Medline].

Further Reading

Related eMedicine topics

Diffuse Idiopathic Skeletal Hyperostosis
[Orthopedic Surgery]

Ankylosing Spondylitis [Radiology]

Ankylosing Spondylitis [Neurology]

Ankylosing Spondylitis [Ophthalmology]

Ankylosing Spondylitis [Orthopedic Surgery]

Keywords

diffuse idiopathic skeletal hyperostosis, Forestier disease, Forestier's disease, DISH, ossification of the posterior longitudinal ligament, OPLL, anterior longitudinal ligament, posterior longitudinal ligament, ankylosing spondylitis, senile ankylosing spondylitis, enthesopathy

Contributor Information and Disclosures

Author

Khozaim Nakhoda, MD, MBBS, DRM, Director of Nuclear Medicine, Department of Radiology, Crozer Chester Medical Center
Khozaim Nakhoda, MD, MBBS, DRM is a member of the following medical societies: American Roentgen Ray Society, Radiological Society of North America, and Society of Nuclear Medicine
Disclosure: Nothing to disclose.

Coauthor(s)

Gary S Greene, MD, FACNM, Attending Radiologist, Director of PET/CT Imaging Section, and Chief of Nuclear Medicine, Pennsylvania Hospital; Clinical Associate Professor of Radiology, University of Pennsylvania School of Medicine
Gary S Greene, MD, FACNM is a member of the following medical societies: American College of Nuclear Medicine, American College of Radiology, American Medical Association, Pennsylvania Radiological Society, and Radiological Society of North America
Disclosure: Nothing to disclose.

Medical Editor

Leon Lenchik, MD, Director, Densitometry Minifellowship, Assistant Professor, Department of Radiology, Wake Forest University Medical Center
Leon Lenchik, MD is a member of the following medical societies: American College of Radiology, American Roentgen Ray Society, and Radiological Society of North America
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

William R Reinus, MD, MBA, FACR, Professor of Radiology, Temple University; Chief of Musculoskeletal and Trauma Radiology, Vice Chair, Department of Radiology, Temple University Hospital
William R Reinus, MD, MBA, FACR is a member of the following medical societies: Alpha Omega Alpha, American College of Radiology, American Roentgen Ray Society, Radiological Society of North America, and Sigma Xi
Disclosure: Nothing to disclose.

CME Editor

Robert M Krasny, MD, Resolution Imaging Medical Corporation
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

Felix S Chew, MD, MBA, EdM, Professor, Department of Radiology, Vice Chairman for Radiology Informatics, Section Head of Musculoskeletal Radiology, University of Washington
Felix S Chew, MD, MBA, EdM is a member of the following medical societies: American Roentgen Ray Society, Association of University Radiologists, and Radiological Society of North America
Disclosure: Nothing to disclose.

 
 
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