Case contributed by A.Prof Frank Gaillard


Vietnamese man investigated for fall.

Patient Data

Age: 65 years
Gender: Female

There are multiple large flowing osteophytes anteriorly between C4 and T1, consistent with diffuse idiopathic skeletal hyperostosis (DISH).

There is also ossification of the posterior longitudinal ligament (OPLL) particularly marked between C2 and C6. This causes moderate to severe stenosis of the central canal between C2 and C6.

No fracture of the cervical spine is demonstrated.

There is heterogenous enlargement of the thyroid gland with retrosternal extension and foci of hypoattenuation and calcification in keeping with a multinodular goiter. 


Case Discussion

OPLL and DISH are quite frequently seen together and an underlying genetic link has been postulated. 

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Case information

rID: 31488
Published: 3rd Jun 2018
Last edited: 14th Aug 2019
System: Spine
Inclusion in quiz mode: Included

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