Recovery of Deglutition Disorder in Posterior Inferior Cerebellar Artery Stroke-A Case Reports

Abstract

Introduction: Posterior Inferior Cerebellar Artery stroke is most commonly seen with dysphagia, dysarthria, and gait problems. In this we are presenting 2 patients who received combined Traditional therapy and vital stim therapy and only swallow rehabilitation therapy along with the recovery pattern.Methods: A patient with 63 years and 65 years old Men were reported to our hospital with a stroke, with a common history of Hypertension, and non-diabetic, and with sudden onset of dysphagia, dysarthria and ataxia of the gait, but one person was smoker. The patients was clinically diagnosed with a acute ischemic stroke with left posterior inferior cerebellar artery infarct .Clinical dysphagia bed side evaluation was done along with FEES test and graded with level1 based on their National Outcome Measurements system (NOMS). Swallowing level scale was used as parameter for evaluating the level-1.Later, one the patient has received combined vital stim therapy with traditional therapy for number of sessions where as other not.Results: Deglutition disorder was clinically more severe in patients with PICA syndrome than in other groups. The pharyngeal phase of swallowing was predominantly impaired .Fast recovery has seen with combination of vital stim therapy and traditional therapy and the patient was graded with level-7 based on National outcomes Measurements system (NOMS). Conclusion:combined vital stim electrical therapy and traditional therapy has greater effect to overcome dysphagia. However, large placebo randomised study is required to establish the effective recovery patterns.