Recovery of Dysphagia in Lateral Medullary Stroke

Gupta, Hemlata; Banerjee, Alakananda

doi:10.1155/2014/404871

Cited by 9 publications

(11 citation statements)

References 15 publications

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“…Severity of dysphagia may vary according to the region affected by the stroke. Brainstem strokes, especially lateral medullary, tend to have the most severe and longest lasting dysphagia . Among the hemispheric strokes, strokes with insular region involvement present with more severe dysphagia .…”

Section: Causesmentioning

confidence: 99%

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Dysphagia: Interprofessional Management, Impact, and Patient‐Centered Care

et al. 2018

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Dysphagia affects a multitude of people worldwide with tremendous impact on the affected individual, families, and caregivers. Understanding dysphagia, as well as the status of screening, evaluation, and treatment, aids in the knowledge required by a interprofessional team to holistically care for patients with dysphagia and their caregivers. The impact of dysphagia includes potential associated risk and a cascade of effects. Conversations regarding meeting nutrition and fluid needs with consideration for quality of life need to be integrated into the plan of care for individuals with dysphagia.

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Section: Causesmentioning

confidence: 99%

“…Brainstem strokes, especially lateral medullary, tend to have the most severe and longest lasting dysphagia. [3][4][5] Among the hemispheric strokes, strokes with insular region involvement present with more severe dysphagia. 3 Dysphagia also may result from traumatic or nontraumatic brain injury, depending on the area and extent of injury.…”

Section: Causesmentioning

confidence: 99%

Dysphagia: Interprofessional Management, Impact, and Patient‐Centered Care

et al. 2018

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“…4 Successful treatment of dysphagia is difficult in LMS and various intervention procedures have been tried in the past with variable results. They include transcranial magnetic stimulation, 5 head rotation and postural modification 6 Logemann and electrotherapy Gupta and Banerjee 7 We report a case where conventional therapy has shown significant and immediate improvement.…”

Section: Introductionmentioning

confidence: 97%

Successful Treatment of Dysphagia in a Case of Lateral Medullary Syndrome

Roy¹,

Dey²,

Pradhan³

et al. 2017

International Journal of Phonosurgery &Amp; Laryngology

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Background: Lateral medullary syndrome is a known cause for apraxia, dysarthria, and dysphagia. It is caused by lesion in the posterolateral area of the medulla oblongata. Dysphagia, being a life-threatening condition, deserves immediate attention of the medical team and is of prime concern to Speech Language Pathologists (SLPs). Aim:The aim of the study was to document a successful case of dysphagia management in lateral medullary syndrome (LMS). Case report:This study documents a successful management of dysphagia in an individual with LMS. Assessment (perceptual and instrumental) showed reduction of peripheral capillary oxygen saturation (SpO 2 ) during feeding, slow laryngeal elevation with pooling of food and saliva in bilateral pyriform fossa, along with a high risk of penetration followed by aspiration. Weak tongue movement and improper lip closure were observed. Combinations of manual therapy and compensatory techniques were used for treating dysphagia. Oromotor exercises and respiratory exercises were used along with supraglottic maneuver, Masako maneuver, chin-tuck with effortful swallow, and Shaker's exercise. Within 2 weeks of initiation of swallow therapy, the subject could start safe oral intake with pureed food and maintain normal SpO 2 level during feeding. Conclusion:This case report demonstrates that dysphagia in LMS can be successfully treated with appropriate selection of combination of techniques in swallow therapy. Supraglottic swallow, Masako maneuver, chin-tuck, and Shaker's exercise were found effective in this case study. We further conclude that early initiation of therapy is the key to faster recovery.

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“…As an aggravating result there is dysphagia which may affect the progression of food from the mouth to the stomach, resulting in clinical implications of different degrees to the patient. Such a change may compromise all the swallowing process in relation to the phases and events of this function (12,25) . Individuals affected by stroke involving the cerebral hemispheres and brain stem have dysphagia, with an incidence of 30%-80%.…”

Section: Introductionmentioning

confidence: 99%

“…Individuals affected by stroke involving the cerebral hemispheres and brain stem have dysphagia, with an incidence of 30%-80%. The biggest changes are in the oral and pharyngeal phases of swallowing and are related to a high prevalence of morbidity and mortality because they cause nutritional changes, bronchial-tracheal saliva, secretions or food suction that may cause clinical complications such as dehydration, malnutrition and risk of aspiration and repetitive pneumonia (8,12,22) . Describing the quality of life in a healthy elderly is a challenge facing the many variations that senescence can cause; when the elderly has a neurological disease, it becomes a greater challenge, but it is very important for monitoring the effectiveness of treatment as also to direct the management of these patients for appropriate action.…”

Section: Introductionmentioning

confidence: 99%

Quality of life in swallowing of the elderly patients affected by stroke

Pontes

Amaral

Rêgo

et al. 2017

Arq. Gastroenterol.

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-Background -The elderly population faces many difficulties as a result of the aging process. Conceptualize and evaluate their life quality is a challenge, being hard to characterize the impact on daily activities and on functional capacity. The stroke is one of the most disabling neurological diseases, becoming a public health problem. As an aggravating result, there is dysphagia, a disorder that compromises the progression of the food from the mouth to the stomach, causing clinical complications to the individual. Objective -Characterize the life quality of the elderly swallowing affected by stroke. Methods -Cross-sectional study conducted at the University Hospital, attended by 35 elderly with stroke, being 19 women and 16 men, with age between 60 and 90 years old, that self-reported satisfactory overall clinical picture. It was applied the Quality of Life Swallowing protocol. The data were statistically analyzed, by means of ANOVA tests, Spearman correlation, t test, with significance level of 5%. Results -The mean age was 69.5 years; as for the scores obtained by the 35 participants in the 11 domains of the protocol, it was observed a change in score indicating severe to moderate impact in quality of life related to self-reported swallowing (31.8% to 59.5%); the domain that most interfered was the feeding time (31.8%). Conclusion -Elderly affected by stroke that present dysphagia has low scores in quality of life related to swallowing. HEADINGS -Stroke. Deglutition disorders. Health of the elderly. Quality of life.Declared conflict of interest of all authors: none Disclosure of funding: no funding received

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Recovery of Dysphagia in Lateral Medullary Stroke

Cited by 9 publications

References 15 publications

Dysphagia: Interprofessional Management, Impact, and Patient‐Centered Care

Dysphagia: Interprofessional Management, Impact, and Patient‐Centered Care

Successful Treatment of Dysphagia in a Case of Lateral Medullary Syndrome

Quality of life in swallowing of the elderly patients affected by stroke

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