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Year : 2001  |  Volume : 49  |  Issue : 2  |  Page : 148-52

Spinal cord and cauda equina compression in 'DISH'.


Department of Neurosurgery, The National Neurosurgical Centre, Khoula Hospital, Mina-Al-Fahal, Muscat, Sultanate of Oman.

Correspondence Address:
Department of Neurosurgery, The National Neurosurgical Centre, Khoula Hospital, Mina-Al-Fahal, Muscat, Sultanate of Oman.

  #  Abstract

Diffuse idiopathic skeletal hyperostosis (DISH) has long been regarded as a benign asymptomatic clinical entity with an innocuous clinical course. Precise information is lacking in the world literature. Authors report the results of a retrospective analysis of 74 cases of DISH. Eleven patients presented with progressive spinal cord or cauda equina compression. In nine cases ossified posterior longitudinal ligament (OPLL) and in two cases ossified ligamentum flavum (OLF) were primarily responsible. Surgically treated patients (eight) had far better outcome as compared to the patients managed conservatively, as they had refused surgery. 'DISH' is neither a benign condition, nor it always runs a innocuous clinical course. In fact, in about 15% of the cases, serious neurological manifestations occur, which may require a major neurosurgical intervention.

How to cite this article:
Sharma R R, Mahapatra A, Pawar S J, Sousa J, Lad S D, Athale S D. Spinal cord and cauda equina compression in 'DISH'. Neurol India 2001;49:148


How to cite this URL:
Sharma R R, Mahapatra A, Pawar S J, Sousa J, Lad S D, Athale S D. Spinal cord and cauda equina compression in 'DISH'. Neurol India [serial online] 2001 [cited 2019 Aug 21];49:148. Available from: http://www.neurologyindia.com/text.asp?2001/49/2/148/1276


 

 

 

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Online since 20th March '04
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