Hypoglossal Nerve Paralysis Caused by Diffuse Idiopathic Skeletal Hyperostosis

Diffuse idiopathic skeletal hyperostosis (DISH) is a rare disease characterized by bony overgrowth of the spine. If severe enough, it can lead to dysphagia from many different mechanisms. These most commonly include mechanical obstruction, inflammation, or vocal cord paralysis. In our patient case,...

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Main Authors: Christina Fanous, Radwan Mashina, Ammar Jum'ah, Marwan Mashina, Edwin Avallone
Format: Article
Language:English
Published: American College of Physicians 2022-09-01
Series:Annals of Internal Medicine: Clinical Cases
Online Access:https://www.acpjournals.org/doi/10.7326/aimcc.2021.0190
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author Christina Fanous
Radwan Mashina
Ammar Jum'ah
Marwan Mashina
Edwin Avallone
author_facet Christina Fanous
Radwan Mashina
Ammar Jum'ah
Marwan Mashina
Edwin Avallone
author_sort Christina Fanous
collection DOAJ
description Diffuse idiopathic skeletal hyperostosis (DISH) is a rare disease characterized by bony overgrowth of the spine. If severe enough, it can lead to dysphagia from many different mechanisms. These most commonly include mechanical obstruction, inflammation, or vocal cord paralysis. In our patient case, DISH caused paralysis of the hypoglossal nerve, which contributed to his dysphagia. Paralysis of the hypoglossal nerve as a result of DISH has not yet been reported in the literature.
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institution OA Journals
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publishDate 2022-09-01
publisher American College of Physicians
record_format Article
series Annals of Internal Medicine: Clinical Cases
spelling doaj-art-18d5988005bc4456a6f2a1a30cc1ee6c2025-08-20T02:27:24ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642022-09-011710.7326/aimcc.2021.0190Hypoglossal Nerve Paralysis Caused by Diffuse Idiopathic Skeletal HyperostosisChristina Fanous0Radwan Mashina1Ammar Jum'ah2Marwan Mashina3Edwin Avallone41Department of Internal Medicine, University of Nevada Las Vegas, Las Vegas, Nevada2Jordan University of Science and Technology, Irbid, Jordan3Department of Neurology, Henry Ford Hospital, Detroit, Michigan1Department of Internal Medicine, University of Nevada Las Vegas, Las Vegas, Nevada4Department of Internal Medicine, VA Hospital, Las Vegas, NevadaDiffuse idiopathic skeletal hyperostosis (DISH) is a rare disease characterized by bony overgrowth of the spine. If severe enough, it can lead to dysphagia from many different mechanisms. These most commonly include mechanical obstruction, inflammation, or vocal cord paralysis. In our patient case, DISH caused paralysis of the hypoglossal nerve, which contributed to his dysphagia. Paralysis of the hypoglossal nerve as a result of DISH has not yet been reported in the literature.https://www.acpjournals.org/doi/10.7326/aimcc.2021.0190
spellingShingle Christina Fanous
Radwan Mashina
Ammar Jum'ah
Marwan Mashina
Edwin Avallone
Hypoglossal Nerve Paralysis Caused by Diffuse Idiopathic Skeletal Hyperostosis
Annals of Internal Medicine: Clinical Cases
title Hypoglossal Nerve Paralysis Caused by Diffuse Idiopathic Skeletal Hyperostosis
title_full Hypoglossal Nerve Paralysis Caused by Diffuse Idiopathic Skeletal Hyperostosis
title_fullStr Hypoglossal Nerve Paralysis Caused by Diffuse Idiopathic Skeletal Hyperostosis
title_full_unstemmed Hypoglossal Nerve Paralysis Caused by Diffuse Idiopathic Skeletal Hyperostosis
title_short Hypoglossal Nerve Paralysis Caused by Diffuse Idiopathic Skeletal Hyperostosis
title_sort hypoglossal nerve paralysis caused by diffuse idiopathic skeletal hyperostosis
url https://www.acpjournals.org/doi/10.7326/aimcc.2021.0190
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AT radwanmashina hypoglossalnerveparalysiscausedbydiffuseidiopathicskeletalhyperostosis
AT ammarjumah hypoglossalnerveparalysiscausedbydiffuseidiopathicskeletalhyperostosis
AT marwanmashina hypoglossalnerveparalysiscausedbydiffuseidiopathicskeletalhyperostosis
AT edwinavallone hypoglossalnerveparalysiscausedbydiffuseidiopathicskeletalhyperostosis