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J Korean Soc Emerg Med > Volume 23(1); 2012 > Article
Journal of The Korean Society of Emergency Medicine 2012;23(1): 145-148.
Progressive Paralysis of the Right Lower Extremity due to Diffuse Idiopathic Skeletal Hyperostosis: A Case Report
Han Joo Choi, Hyun Soo Park, Sung Bum Oh
Department of Emergency Medicine, College of Medicine, Dankook University, Cheonan, Korea. iqtus@hanmail.net
ABSTRACT
Diffuse idiopathic skeletal hyperostosis (DISH), also known as Forestier's disease, is a common disorder characterized by ossification and calcification of soft tissues such as the enthuses and joint capsules, particularly affecting the spine. This condition affects approximately 3~30% of men older than 50 years of age. We present the case of a 39-year-old woman diagnosed with DISH combined with extensive ossification of the posterior longitudinal ligament (OPLL) and ossification of ligamentum flavum (OLF). The emergency physician should understand the typical radiologic findings associated with DISH and its clinical presentations in order to diagnose and treat this problem.
Key words: Hyperostosis, Diffuse Idiopathic Skeletal, Ossification of Posterior Longitudinal Ligament, Ligamentum Flavum
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