{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T20:44:04Z","timestamp":1767991444222,"version":"3.49.0"},"reference-count":12,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Cervical diffuse idiopathic skeletal hyperostosis (DISH), also known as Forestier\u2019s disease, is an uncommon but potentially reversible cause of dysphagia due to mechanical compression of the hypopharynx or upper esophagus.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st2\">\n                    <jats:title>Case Description:<\/jats:title>\n                    <jats:p>Two male patients presented with progressive dysphagia caused by anterior cervical DISH. Radiological evaluation demonstrated extensive anterior osteophyte formation resulting in significant hypopharyngeal and esophageal compression. Both patients underwent anterior cervical osteophytectomy, which led to immediate and complete resolution of dysphagia without perioperative complications, with normalization of postoperative eating assessment tool\u201310 (EAT-10) and functional oral intake scale (FOIS) scores. In addition, a focused review of the literature (2015\u20132024) identified 41 clinical studies involving 200 patients treated surgically for cervical DISH-related dysphagia, demonstrating approximately 90% symptomatic improvement with minimal morbidity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st3\">\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Cervical DISH is a rare but surgically treatable cause of dysphagia. Early recognition and timely anterior cervical osteophytectomy result in excellent clinical outcomes and rapid symptom resolution..<\/jats:p>\n                  <\/jats:sec>","DOI":"10.25259\/sni_1249_2025","type":"journal-article","created":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T15:12:58Z","timestamp":1767971578000},"page":"22","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Cervical diffuse skeletal hyperostosis as a rare cause of dysphagia: Two surgical cases"],"prefix":"10.25259","volume":"17","author":[{"given":"Emin","family":"Tabipo\u011flu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fatih Bera","family":"G\u00fcrta\u015f","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Azamkhon","family":"Lazizov","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erhan","family":"Turkoglu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2026,1,9]]},"reference":[{"key":"10.25259\/SNI_1249_2025\/ref-1","doi-asserted-by":"crossref","first-page":"928","DOI":"10.3390\/medicina58070928","article-title":"Surgical treatment of dysphagia secondary to anterior cervical osteophytes due to DISH","volume":"58","author":"Choi","year":"2022","journal-title":"Medicina (Kaunas)"},{"key":"10.25259\/SNI_1249_2025\/ref-2","doi-asserted-by":"crossref","first-page":"341","DOI":"10.3349\/ymj.2020.61.4.341","article-title":"Surgical outcomes of dysphagia provoked by 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experience","volume":"207","author":"Park","year":"2021","journal-title":"Clin Neurol Neurosurg"},{"key":"10.25259\/SNI_1249_2025\/ref-9","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1016\/j.wneu.2017.12.063","article-title":"Diffuse idiopathic hyperostosis manifesting as dysphagia and bilateral cord paralysis: A case report and literature review","volume":"111","author":"Sebaaly","year":"2018","journal-title":"World Neurosurg"},{"key":"10.25259\/SNI_1249_2025\/ref-10","first-page":"78","article-title":"Surgical treatment for Forestier disease","volume":"28","author":"Tan","year":"2015","journal-title":"Zhongguo Gu Shang"},{"key":"10.25259\/SNI_1249_2025\/ref-11","first-page":"485","article-title":"Surgical intervention for dysphagia in DISH","volume":"17","author":"Tran","year":"2022","journal-title":"Asian J Neurosurg"},{"key":"10.25259\/SNI_1249_2025\/ref-12","doi-asserted-by":"crossref","first-page":"197","DOI":"10.22603\/ssrr.2017-0045","article-title":"Surgical treatment for cervical diffuse idiopathic skeletal hyperostosis as a cause of dysphagia","volume":"2","author":"Yoshioka","year":"2018","journal-title":"Spine Surg Relat Res"}],"container-title":["Surgical Neurology 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