Dysphagia in multiple sclerosis

Pauw, Antoine de; Dejaeger, Eddy; Dhooghe, Barbara; Carton, Herwig

doi:10.1016/s0303-8467(02)00053-7

Cited by 108 publications

(90 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…For example, dysphagia is estimated to occur in 29% to 64% of stroke patients. [7][8][9] The prevalence of dysphagia varies in other neurologic disorders: from 24% to 34% in people with multiple sclerosis 10,11 to 81% in people with Parkinson's disease. 12 Dysphagia is associated with gastroesophageal reflux disease (GERD).…”

mentioning

confidence: 99%

The Prevalence of Dysphagia in Primary Care Patients: A HamesNet Research Network Study

Wilkins¹,

Gillies²,

Thomas³

et al. 2007

The Journal of the American Board of Family Medicine

152

108

View full text Add to dashboard Cite

Purpose: A number of disorders cause dysphagia, which is the perception of an obstruction during swallowing. The purpose of this study was to determine the prevalence of dysphagia in primary care patients.Methods: Adults 18 years old and older were the subjects of an anonymous survey that was collected in the clinic waiting room before patients were seen by a physician. Twelve family medicine offices in HamesNet, a research network in Georgia, participated.Results: Of the 947 study participants, 214 (22.6%) reported dysphagia occurring several times per month or more frequently. Those reporting dysphagia were more likely to be women (80.8% women vs 19.2% men, P ‫؍‬ .002) and older (mean age of 48.1 in patients with dysphagia vs mean age of 45.7 in patients without dysphagia, P ‫؍‬ .001). Sixty-four percent of patients with dysphagia indicated that they were concerned about their symptoms, but 46.3% had not spoken with their doctor about their symptoms. Logistic regression analyses showed that increased frequency [odds ratio (OR) ‫؍‬ 2.15, 95% CI 1.41-3.30], duration (OR ‫؍‬ 1.91, CI 1.24 -2.94), and concern (OR ‫؍‬ 2.64, CI 1.36 -5.12) of swallowing problems as well as increased problems eating out (OR ‫؍‬ 1.72, CI 1.19 -2.49) were associated with increased odds of having talked to a physician. Conclusions: This is the first report of the prevalence of dysphagia in an unselected adult primary care population. Dysphagia occurs commonly in primary care patients but often is not discussed with a physician. (J Am Board Fam Med 2007;20:144 -150.)Swallowing is a complex motor reflex requiring coordination among the neurologic system, the oropharynx, and the esophagus. A number of disorders, both benign and malignant, interfere with the swallowing process and cause dysphagia.1 Patients with dysphagia suffer significant social and psychological burdens associated with their symptoms of difficulty with swallowing, including anxiety with meals or avoidance of eating with others. 2The diagnosis of dysphagia is important because of the associated morbidity and mortality. Untreated dysphagia can lead to dehydration, malnutrition, respiratory infections, and death.2 The elderly with symptoms of dysphagia are at increased risk of the complications of dysphagia, including aspiration pneumonia. 3 Several studies have identified the elderly as being at risk for the development of dysphagia. 4,5 The prevalence of solid-food dysphagia was found to be 7% in elderly patients (62 years old and older) in a family medicine clinic in a medical university.

show abstract

mentioning

confidence: 99%

The Prevalence of Dysphagia in Primary Care Patients: A HamesNet Research Network Study

Wilkins¹,

Gillies²,

Thomas³

et al. 2007

The Journal of the American Board of Family Medicine

152

108

View full text Add to dashboard Cite

show abstract

“…These differences could be due to differences in the number of varieties and specifications samples, as well as the different types of tariffs and tools examined. 21 percent of MS patients in the study showed signs of dysphagia, which amount to less than 29 per cent hit De Pauw et al, 1991 in Belgium are 308 patients on his dysphagia gather information with the collection of and clinical, as well as prior to developing MS later evaluated [5]. According to the registration from previous studies, the prevalence of dysphagia in patients with MS from 33 to 43 percent have been reported in this study is that most of the statistics [5], in another study implemented by Poorjavad et al in Isfahan.…”

Section: Discussionmentioning

confidence: 81%

“…Visual disorders (79.5%), speech disorders (44.3%), swallowing problems (21%), facial palsy (15.3%), TMD (14.3%) and TN (13.3%) were noted. According to researchers, 68%-100% of MS patients have visual disorders [4][5][6][7][8][9][10][11]. There is no exist before even one article which is shown and studied all manifestations together or at least has not been available, Nevertheless, the question is that why should all of these symptoms seen in a single place ON?…”

Section: Discussionmentioning

confidence: 99%

“…There is no exist before even one article which is shown and studied all manifestations together or at least has not been available, Nevertheless, the question is that why should all of these symptoms seen in a single place ON? The answer to the reason that previous researchers have examined them separately [4,5,7], indicating that each of these manifestations can be, Perhaps the first study of its kind to be all of these manifestations have been studied in one place. As stated visual disorders using questionnaires and observation, the rate of 79.5 percent, respectively.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Oral And Facial Manifestations Of Patients With Multiple Sclerosis

MHK¹

2014

Dentistry

View full text Add to dashboard Cite

Aim: With regard to the prevalence of Multiple Sclerosis and the importance of early diagnosis, we aimed to assess the prevalence of oral and facial manifestations in patients with multiple sclerosis (MS). Material and methods:This cross-sectional study assessed 400 MS patients for oral and facial manifestations. Trigeminal neuralgia, dysarthria, dysphagia, TMD, facial palsy and visual symptoms were documented. Occurrence of each manifestation was determined, its confidence interval was evaluated within a probability of 95%, and the role of the related factors in this prevalence was analyzed with the Chi-square test.Results: This study of 400 patients with MS revealed that 89.2% demonstrated oral and facial symptoms. The most frequent manifestations were visual symptoms (79.5%), dysarthria (44.3%), dysphagia (21%), facial palsy (15.3%), temporomandibular disorder (14.3%) and trigeminal neuralgia (13.3%). The related factors (individual and familial) showed no significant relation to the incidence of these manifestations. Conclusion:This study revealed a high prevalence of oral and facial manifestations in MS patients and therefore the dentist may be the first to diagnose this.

show abstract

“…It may be hypothesized that vocal symptoms may be mild in cases of neurological disease due to the presence and magnitude of other manifestations in such disorders, including those related to swallowing (19,20) . According to the physical score, patients with voice disorders secondary to gastroesophageal reflux had more vocal symptoms than patients without laryngeal lesions.…”

Section: Discussionmentioning

confidence: 99%

Relação entre os sintomas vocais, intensidade do desvio vocal e diagnóstico laríngeo em pacientes com distúrbios da voz

Lopes

Silva

Evangelista

et al. 2016

CoDAS

View full text Add to dashboard Cite

RESUMO Objetivo investigar se existe associação entre a frequência de ocorrência dos sintomas vocais, a intensidade do desvio vocal e o diagnóstico laríngeo em pacientes com diferentes distúrbios da voz. Métodos Participaram do estudo 330 pacientes com queixa vocal, distribuídos em cinco grupos de acordo com o diagnóstico laringológico: G1-sem lesão laríngea, G2-lesões benignas das pregas vocais, G3-distúrbio neurológico da voz, G4-fenda glótica sem causa orgânica ou neurológica e G5-distúrbio de voz secundário a refluxo gastroesofágico. Foram alocados em cinco grupos, de acordo com o diagnóstico laríngeo. Todos os participantes responderam à Escala de Sintomas Vocais (ESV) e gravaram a vogal /ɛ/ sustentada, que foi analisada quanto à intensidade do desvio vocal por meio de uma escala analógico-visual. Resultados Houve diferença nos escores total, de limitação e físico da ESV entre diferentes grupos diagnósticos. Pacientes com lesão na porção membranosa das pregas vocais apresentaram maior número de sintomas vocais em relação aos outros grupos diagnósticos. Observou-se correlação positiva entre a intensidade do desvio vocal e os escores total, de limitação e emocional da ESV. Pacientes com desvio vocal moderado e intenso apresentaram maior número de sintomas vocais que pacientes com vozes saudáveis ou com desvio leve. Conclusão Existe associação entre o diagnóstico laríngeo, a intensidade do desvio vocal e a frequência de ocorrência dos sintomas vocais. Pacientes com lesão benigna nas pregas vocais e com desvio vocal mais intenso apresentam maior frequência de sintomas vocais.

show abstract

Dysphagia in multiple sclerosis

Cited by 108 publications

References 17 publications

The Prevalence of Dysphagia in Primary Care Patients: A HamesNet Research Network Study

The Prevalence of Dysphagia in Primary Care Patients: A HamesNet Research Network Study

Oral And Facial Manifestations Of Patients With Multiple Sclerosis

Relação entre os sintomas vocais, intensidade do desvio vocal e diagnóstico laríngeo em pacientes com distúrbios da voz

Contact Info

Product

Resources

About