| Comparison of disordered swallowing patterns in patients with recurrent cortical/subcortical stroke and first-time brainstem stroke. | |
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MedLine Citation:
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PMID: 16040477 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To describe the disordered swallowing patterns in recurrent cortical/subcortical stroke and first-time brainstem stroke. DESIGN: A retrospective study. SUBJECTS: Forty-seven consecutive patients, 28 with recurrent cortical/subcortical stroke and 19 with first-time brainstem stroke, referred for dysphagic evaluation to the rehabilitation department of a medical centre. METHODS: Thirty-five male and 12 female patients with a mean age of 62.0+/-11.5 years were included. The median post-stroke duration was 17.0 days. The records of clinical examination and a videofluoroscopic study of swallowing were collected through chart review. The percentages of abnormalities seen at clinical examination and videofluoroscopic swallowing study between recurrent cortical/subcortical stroke and first-time brainstem stroke patients were compared using a chi-square test. RESULTS: The recurrent cortical/subcortical patients suffered from a higher rate of impaired tongue movement, drooling and aphasia at clinical examination and a higher percentage of swallowing abnormalities in oral-preparatory and oral phases in the videofluoroscopic swallowing study. The abnormal videofluoroscopic findings in first-time brainstem stroke patients predominantly occurred in the pharyngeal phase. Both groups had more difficulties swallowing thin barium than they did swallowing the thick and paste barium. CONCLUSION: The recurrent cortical/subcortical stroke and first-time brainstem stroke patients show different manifestations in some parameters of both clinical examination and videofluoroscopic swallowing study. |
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Authors:
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Der-Sheng Han; Yeun-Chung Chang; Chih-Huei Lu; Tyng-Guey Wang |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Journal of rehabilitation medicine : official journal of the UEMS European Board of Physical and Rehabilitation Medicine Volume: 37 ISSN: 1650-1977 ISO Abbreviation: J Rehabil Med Publication Date: 2005 May |
Date Detail:
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Created Date: 2005-07-25 Completed Date: 2005-07-28 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 101088169 Medline TA: J Rehabil Med Country: Sweden |
Other Details:
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Languages: eng Pagination: 189-91 Citation Subset: IM |
Affiliation:
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Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei 100, Taiwan, ROC. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Brain Stem Infarctions / complications*, physiopathology, psychology Cerebral Cortex / physiopathology Deglutition Disorders / diagnosis, etiology*, psychology Female Fluoroscopy Humans Male Middle Aged Recurrence Retrospective Studies Stroke / complications*, physiopathology, psychology Video Recording |
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