Harold P. Roth, M.D., F.A.C.P.; Bertram Fleshier, M.D.
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Curling, also called tertiary waves and corkscrew esophagus, is often dismissed as an insignificant X-ray finding. Symptoms may be associated with a similar X-ray appearance; the syndrome is then called diffuse esophageal spasm. Ten patients with this syndrome symptomatic were studied in the past 3 years. They had attacks of dysphagia, substernal pain, and in one case, syncope. Symptoms appeared before age 35 in two patients and before 50 in three others. The radiologic manifestations did not parallel the clinical severity. No abnormality was noted on the initial routine X-ray examination of four patients. However, a typical X-ray pattern was
Roth HP, Fleshier B. Diffuse Esophageal Spasm: Clinical, Radiologic, and Manometric Observations.. Ann Intern Med. ;60:325. doi: 10.7326/0003-4819-60-2-325_2
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© 2018
Published: Ann Intern Med. 1964;60(2_Part_1):325.
DOI: 10.7326/0003-4819-60-2-325_2
Esophageal Disorders, Gastroenterology/Hepatology.
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