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March 1, 1976

Cervical Spondylotic Dysphagia

Author Affiliations

From the Department of Radiology, Thomas Jefferson University Hospital, Philadelphia.

JAMA. 1976;235(9):935-936. doi:10.1001/jama.1976.03260350039027

HYPERTROPHIC spurs along the cervical spine may cause varying degrees of dysphagia. In its severe form, it may simulate a neurogenic disorder or a tumor. Recently, we have examined several such patients, one of whom showed virtually all the clinical, endoscopic, and roentgenographic findings so far reported with this condition.1-5 A new finding of Zenker diverticulum was also observed in this case.

Report of a Case  An 80-year-old man was examined in the radiology department for gradually increasing dysphagia of solid foods for ten years. The patient was well developed and well nourished. He denied losing any weight. The only noteworthy past history was his previous admission in 1967 for a similar complaint. He underwent esophagoscopy because of a preoperative diagnosis of possible pharyngeal carcinoma. At that time, fullness in the posterior pharyngeal wall appeared to be smooth and without ulceration.Fluoroscopy at the last visit showed gross disturbance