| Dysphagia with lateral medullary infarction (Wallenberg's syndrome). | |
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MedLine Citation:
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PMID: 22277480 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Dysphagia after lateral medullary infarction (LMI) is common. The dysphagia of LMI is dynamically characterized by a failure in triggering of the pharyngeal-phase swallowing movements, reduced output, and lack of coordination (swallowing pattern abnormality). Based on accurate evaluation, we can select suitable rehabilitative approaches for individual patients, including respiratory therapy, food modification, postural changes, and oral care. We focused on the absence of upper esophageal sphincter (UES) opening of the unaffected side of the medullae. The movement pattern was defined as failure of bolus passage through the intact side of the UES, occurring at least once during the videofluorographic evaluation of each individual. Three abnormal patterns of UES opening were classified. The passage pattern abnormality shows the failure of the stereotyped motor sequence. For severe cases, it is necessary to consider long-term treatment, including botulinum toxin injection or surgery to prevent aspiration and adequate nutritional management. |
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Authors:
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Fumiko Oshima |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Rinshō shinkeigaku = Clinical neurology Volume: 51 ISSN: 0009-918X ISO Abbreviation: Rinsho Shinkeigaku Publication Date: 2011 Nov |
Date Detail:
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Created Date: 2012-01-26 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0417466 Medline TA: Rinsho Shinkeigaku Country: Japan |
Other Details:
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Languages: eng Pagination: 1069-71 Citation Subset: IM |
Affiliation:
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Department of Neurology, Japanese Red Cross Kyoto Daiichi Hospital. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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