Abstract
A 62-year-old man who presented with recurrent aspiration pneumonia and weight loss was diagnosed with oropharyngeal dysphagia due to unilateral vocal cord paralysis. Imaging of the neck by CT as well as ancillary tests have revealed diffuse idiopathic skeletal hyperostosis ('DISH') as the cause, mediated by pressure of an osteophyte on the recurrent laryngeal nerve. With the ageing of the populations clinicians may increasingly encounter diffuse idiopathic skeletal hyperostosis and should be aware of the syndrome and its unusual complications.
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