Document Detail

Successful treatment of pulmonary aspiration due to brain stem infarction by using cough exercise based on swallowing scintigraphy: preliminary observations.
MedLine Citation:
PMID:  19387737     Owner:  NLM     Status:  MEDLINE    
Although dysphagia in stroke may result in lethal chest infection, it can be prevented by coughing. We report on a patient with dysphagia and aspiration who regained oral ingestion by swallowing with voluntary cough. A 54-year-old man with subarachnoidal hemorrhage underwent endovascular coiling and developed brain stem infarction. Scintigraphy showed pulmonary aspiration just after swallowing, but no radioactivity was detected in the lungs 10 min after swallowing with voluntary cough. Swallowing exercise with voluntary cough resulted in a safe swallow without enteral feeding. Even if laryngeal penetration and pulmonary aspiration are observed, chest infection could be prevented by swallowing exercise combined with voluntary cough.
Naoko Kanai; Hitoshi Kurabayashi; Natsumi Nakamata; Etsuko Yamamoto; Akiko Hishinuma; Eiji Suzuki; Mitsuru Majima
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-04-23
Journal Detail:
Title:  Dysphagia     Volume:  24     ISSN:  1432-0460     ISO Abbreviation:  Dysphagia     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-12-21     Completed Date:  2010-03-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8610856     Medline TA:  Dysphagia     Country:  United States    
Other Details:
Languages:  eng     Pagination:  434-7     Citation Subset:  IM    
Department of Rehabilitation Medicine, Faculty of Medicine, Saitama Medical University, 38 Morohongo, Moroyama, Iruma, Saitama, 350-0495, Japan.
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MeSH Terms
Brain Stem Infarctions / complications*
Cough / physiopathology
Deglutition / physiology
Exercise Therapy / methods
Middle Aged
Regurgitation, Gastric / etiology,  physiopathology,  radionuclide imaging,  therapy*
Treatment Outcome

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