{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T13:59:01Z","timestamp":1764251941050,"version":"build-2065373602"},"reference-count":10,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2025,7,7]],"date-time":"2025-07-07T00:00:00Z","timestamp":1751846400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Geriatrics"],"abstract":"<jats:p>Background\/Objectives: Diffuse idiopathic skeleton hyperostosis (DISH) is also known as Forestier\u2013Rotes-Querol syndrome. The etiology of DISH is unknown. DISH is characterized by ossification of the anterior longitudinal ligaments of the spine. The area most frequently involved in the disease is the thoracic region of the spine. DISH in most cases is asymptomatic. If the cervical spine is involved, the most common symptoms are dysphagia and dyspnea. The ossifications in the cervical region of the spine are localized most frequently in its lower segments. Case presentation: The authors present the case of a 92-year-old cachectic female patient (body mass index (BMI) of 17; lost 13% of her body weight within the last 6 months). The patient underwent resection of the anterior osteophytes C2-T1. Results: At one-year follow up, the patient had gained weight (BMI\u201420) and regained her ability to consume solid products. To our knowledge, this is the oldest patient treated surgically for DISH. Conclusions: If dysphagia or dyspnea appears among elderly patients, cervical spine inspection should be conducted. If DISH is diagnosed safe, effective surgical treatment should be considered.<\/jats:p>","DOI":"10.3390\/geriatrics10040092","type":"journal-article","created":{"date-parts":[[2025,7,7]],"date-time":"2025-07-07T11:19:27Z","timestamp":1751887167000},"page":"92","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Lifesaving Treatment for DISH Syndrome in the Tenth Decade of Patient\u2019s Life"],"prefix":"10.3390","volume":"10","author":[{"given":"Bartosz","family":"Krolicki","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Maria Sklodowska-Curie National Research Institute of Oncology, 02-781 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victor","family":"Mandat","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Maria Sklodowska-Curie National Research Institute of Oncology, 02-781 Warsaw, Poland"},{"name":"Department of Biology, University of Toronto Mississauga, Toronto, ON L5L 1C6, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3480-0412","authenticated-orcid":false,"given":"Tomasz S.","family":"Mandat","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Maria Sklodowska-Curie National Research Institute of Oncology, 02-781 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,7,7]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1136\/ard.9.4.321","article-title":"Senile ankylosing hyperostosis of the spine","volume":"9","author":"Forestier","year":"1950","journal-title":"Ann. Rheum. Dis."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"258","DOI":"10.5435\/00124635-200107000-00006","article-title":"Diffuse idiopathic skeletal hyperostosis: Musculoskeletal manifestations","volume":"9","author":"Belanger","year":"2001","journal-title":"J. Am. Acad. Orthop. Surg."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"431","DOI":"10.1177\/019459989411000414","article-title":"DISHsyndrome and its role in dysphagia","volume":"110","author":"Kmucha","year":"1994","journal-title":"Otolaryngol. Head Neck Surg."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"559","DOI":"10.1148\/119.3.559","article-title":"Radiographic and Pathologic Features of Spinal Involvement in Diffuse Idiopathic Skeletal Hyperostosis (DISH)","volume":"119","author":"Resnick","year":"1976","journal-title":"Radiology"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"101527","DOI":"10.1016\/j.berh.2020.101527","article-title":"Diffuse idiopathic skeletal hyperostosis: Etiology and clinical relevance","volume":"34","author":"Kuperus","year":"2020","journal-title":"Best Pract. Res. Clin. Rheumatol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"741","DOI":"10.1038\/nrrheum.2013.165","article-title":"Diffuse idiopathic skeletal hyperostosis: Clinical features and pathogenic mechanisms","volume":"9","author":"Mader","year":"2013","journal-title":"Nat. Rev. Rheumatol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"e001151","DOI":"10.1136\/rmdopen-2019-001151","article-title":"Imaging of diffuse idiopathic skeletal hyperostosis (DISH)","volume":"6","author":"Mader","year":"2020","journal-title":"RMD Open"},{"key":"ref_8","first-page":"196","article-title":"Relationship between diffuse idiopathic skeletal hyperostosis, abdominal aortic calcification and associated metabolic disorders: Data from the Camargo Cohort","volume":"149","author":"Sgaramella","year":"2017","journal-title":"Med. Clin."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1007\/s00586-014-3507-4","article-title":"Results after the surgical treatment of anterior cervical hyperostosis causing dysphagia","volume":"24","author":"Voelker","year":"2015","journal-title":"Eur. Spine"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1016\/j.jocn.2019.05.057","article-title":"Long-term results after surgical treatment of diffuse idiopathic skeletal hyperostosis (DISH) causing dysphagia","volume":"67","author":"Scholz","year":"2019","journal-title":"J. Clin. Neurosci."}],"container-title":["Geriatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2308-3417\/10\/4\/92\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T18:05:36Z","timestamp":1760033136000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2308-3417\/10\/4\/92"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,7]]},"references-count":10,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2025,8]]}},"alternative-id":["geriatrics10040092"],"URL":"https:\/\/doi.org\/10.3390\/geriatrics10040092","relation":{},"ISSN":["2308-3417"],"issn-type":[{"type":"electronic","value":"2308-3417"}],"subject":[],"published":{"date-parts":[[2025,7,7]]}}}