Case study 60 - DISH-phagia Diffuse idiopathic skeletal hyperostosis (DISH) is a rheumatologic disease which can cause cervical osteophytes and lead to otolaryngological symptoms such as difficulty in swallowing, difficulty in breathing and loss of weight. Primarily involved structure is the anterior longitudinal ligament, ossification and calcification of which result in osteophyte formation. Dysphagia due to DISH involving the cervical spine is relatively unusual (17% of patients with DISH). D

Case study 123 - Pott disease (Tuberculosis of the spine) Pott disease, also known as tuberculous spondylitis, is a classic presentation of extrapulmonary tuberculosis (TB). It is associated with significant morbidity and can lead to severe functional impairment. The diagnosis tends to be delayed because of nonspecific initial early manifestations and/or low degree of suspicion. The diagnostic approach needs to be based on chronic pain or deformity, epidemiological considerations, imaging, and a