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Rev Bras Neurol.

52(2):23-26, 2016

Disfagia devido a osteofitose cervical: Relato de


caso
Dysphagia due to cervical osteophytosis: Case report
Rogério Martins Pires de Amorim1, Ana Caroline Siquara de Sousa1, 3, Lucas Loiola Santos1, Maristella Reis da Costa Pereira1,
José Fernando Guedes-Corrêa1, 2

RESUMO ABSTRACT
Doenças degenerativas na coluna cervical são comuns nos pacientes Degenerative diseases of the cervical spine are common in elderly
idosos. Os autores apresentam caso de paciente do sexo feminino, patients. The authors present a case report of female, 44 years old,
DQRVFRPTXDGURGHGLVIDJLDSURJUHVVLYDUHODFLRQDGD¢RVWHRȴ- with progressive dysphagia due to anterior cervical osteophytes (C5-
tose cervical anterior em C5-C6 e C6-C7. Esofagograma mostrou a C6 and C6-C7). Esophagogram showed esophageal compression by
FRPSUHVV¥R HVRI£JLFD SHORV RVWHµȴWRV DQWHULRUHV 2 WUDWDPHQWR anterior osteophytes. The treatment was removal of osteophytes
UHDOL]DGRIRLEURFDJHPGRVRVWHµȴWRVGLVFHFWRPLDFHUYLFDOHPGRLV by drill, cervical discectomy on two levels and cervical arthrodesis,
níveis e artrodese cervical, resultando na remissão completa do sin- resulting in complete remission of symptoms. Although it is an un-
WRPD(PERUDVHMDXPDFDXVDLQFRPXPGHGLVIDJLDRVWHµȴWRGHYH common cause of dysphagia, osteophytes should be included in the
ser incluído como diagnóstico diferencial pois é uma causa tratável e GL΍HUHQWLDOGLDJQRVLVEHFDXVHLWLVDWUHDWDEOHDQGUHYHUVLEOHFDXVHRI
reversível do sintoma. the symptom.

Palavras-chave: RVWHµȴWR GLVIDJLD GRHQ©DV GD FROXQD YHUWHEUDO Key words: osteophyte; dysphagia; spinal diseases; cervical verte-
vértebras cervicais. brae.

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1

Universidade Federal do Estado do Rio de Janeiro (EMC – UNIRIO), Rio de Janeiro, RJ, Brasil.
2
Centro de Cirurgia de Nervos Periféricos. Instituto de Neurologia Deolindo Couto – Universidade Federal do Rio de Janeiro (INDC – UFRJ), Rio de Janeiro, RJ,
Brasil.
6HUYL©RGH$QDWRPLD3DWROµJLFDGR+RVSLWDO8QLYHUVLW£ULR*D΍U«HH*XLQOH +8** 
3

Endereço para correspondência: Ana Caroline Siquara de Sousa, E-mail: anasiquara@gmail.com Universidade Federal do Estado do Rio de Janeiro, Hospital
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Revista Brasileira de Neurologia » Volume 52 » Nº 2 » Abr/Mai/Jun 2016 23


Amorim RMP et al.

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RELATO DE CASO
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QDUHJLmRFHUYLFDO6HPGDGRVUHOHYDQWHVQDKLVWyULDSDWR- Figura 2. Foto cirúrgica mostrando instalação de placa cervical com quatro
OyJLFDSUHJUHVVD([DPHQHXUROyJLFRVHPDQRUPDOLGDGHV parafusos cervicais após ressecção de complexos disco-osteofitários.
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Figura 1. Esofagograma de bário evidenciando obstruções em nível de C5-C7.

24 Revista Brasileira de Neurologia » Volume 52 » Nº 2 » Abr/Mai/Jun 2016


Disfagia e osteofitose cervical

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CONFLITOS DE INTERESSE a case report of cervical spondylosis. Chin Med J (Engl). 2004;117:478-80.
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6. Akhtar S, O’Flynn PE, Kelly A, Valentine PM. The management of dysphasia
UHVVHDVHUHPGHFODUDGRV
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 &DOLVDQHOOHU 7 2]GHPLU 2 7RVXQ ( $OWLQRUV 1 '\VSKDJLD GXH WR GL΍XVH
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