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Neurogenic dysphagia

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https://www.readbyqxmd.com/read/27900347/isolated-dysphagia-as-initial-sign-of-anti-iglon5-syndrome
#1
Jens Burchard Schröder, Nico Melzer, Tobias Ruck, Anna Heidbreder, Ilka Kleffner, Ralf Dittrich, Paul Muhle, Tobias Warnecke, Rainer Dziewas
OBJECTIVE: To report on dysphagia as initial sign in a case of anti-IgLON5 syndrome and provide an overview of the current literature. METHODS: The diagnostic workup included cerebral MRI, fiber optic endoscopic evaluation of swallowing (FEES) with the FEES tensilon test, a videofluoroscopic swallowing study, evoked potentials and peripheral nerve conduction studies, polysomnography, lumbar puncture, and screening for neural autoantibodies. A systematic review of all published cases of IgLON5 syndrome is provided...
January 2017: Neurology® Neuroimmunology & Neuroinflammation
https://www.readbyqxmd.com/read/27807279/design-and-implementation-of-pharyngeal-electrical-stimulation-for-early-de-cannulation-in-tracheotomized-phast-trac-stroke-patients-with-neurogenic-dysphagia-a-prospective-randomized-single-blinded-interventional-study
#2
Rainer Dziewas, Satish Mistry, Shaheen Hamdy, Jens Minnerup, Ingeborg Van Der Tweel, Wolf Schäbitz, Philip M Bath
RATIONALE: Ongoing dysphagia in stroke patients weaned from mechanical ventilation often requires long-term tracheotomy to protect the airway from aspiration. In a recently reported single-centre pilot study, a significantly larger proportion (75%) of tracheotomized dysphagic stroke patients regained sufficient control of airway management allowing tracheotomy tube removal (decannulation) 24-72 h after pharyngeal electrical stimulation (PES) compared to controls who received standard therapy over the same time period (20%)...
November 2, 2016: International Journal of Stroke: Official Journal of the International Stroke Society
https://www.readbyqxmd.com/read/27757479/-diagnosis-and-treatment-of-parapharyngeal-space-tumors
#3
F Bootz, S Greschus, T van Bremen
The parapharyngeal space extends from the nasopharynx to the oropharynx. It is bordered medially by the pharyngeal wall and the constrictor pharyngis muscles, and laterally by the mandible. One distinguishes between a pre- and a poststyloid space. Tumors of the parapharyngeal space are rare and represent less than 1 % of all head and neck neoplasms. Benign (70-80 %) as well as malignant (20-30 %) tumors arise from different structures of the parapharyngeal space, mainly from salivary glands and nerve structures...
October 18, 2016: HNO
https://www.readbyqxmd.com/read/27693396/functional-connectivity-patterns-of-normal-human-swallowing-difference-among-various-viscosity-swallows-in-normal-and-chin-tuck-head-positions
#4
Iva Jestrović, James L Coyle, Subashan Perera, Ervin Sejdić
Consuming thicker fluids and swallowing in the chin-tuck position has been shown to be advantageous for some patients with neurogenic dysphagia who aspirate due to various causes. The anatomical changes caused by these therapeutic techniques are well known, but it is unclear whether these changes alter the cerebral processing of swallow-related sensorimotor activity. We sought to investigate the effect of increased fluid viscosity and chin-down posture during swallowing on brain networks. 55 healthy adults performed water, nectar-thick, and honey thick liquid swallows in the neutral and chin-tuck positions while EEG signals were recorded...
December 1, 2016: Brain Research
https://www.readbyqxmd.com/read/27648173/validation-of-the-persian-version-of-the-dysphagia-handicap-index-in-patients-with-neurological-disorders
#5
Ebrahim Barzegar-Bafrooei, Jalal Bakhtiary, Ahmad Reza Khatoonabadi, Farzad Fatehi, Saman Maroufizadeh, Mojtaba Fathali
Background: Dysphagia as a common condition affecting many aspects of the patient's life. The Dysphagia Handicap Index (DHI) is a reliable self-reported questionnaire developed specifically to measure the impact of dysphagia on the patient's quality of life. The aim of this study was to translate the questionnaire to Persian and to measure its validity and reliability in patients with neurogenic oropharyngeal dysphagia. Methods: A formal forward-backward translation of DHI was performed based on the guidelines for the cross-cultural adaptation of self-report measures...
July 6, 2016: Iranian Journal of Neurology
https://www.readbyqxmd.com/read/27552353/occlusion-of-tracheostomy-tubes-does-not-alter-pharyngeal-phase-kinematics-but-reduces-penetration-by-enhancing-pharyngeal-clearance-a-prospective-study-in-patients-with-neurogenic-dysphagia
#6
Christian Ledl, Ylva Yasmin Ullrich
OBJECTIVE: Tracheostomy tubes (TT) are often needed in patients with severe neurologic injuries to protect the respiratory system from aspiration. However, TTs alter physiological oral-nasal airflow and are suspected to influence the pattern of pharyngeal swallowing. The aim of this work was to evaluate the effect of TT occlusion on pharyngeal swallowing physiology and to determine penetration-aspiration (PA) values of open versus closed TTs in neurogenic dysphagia. DESIGN: Prospective controlled clinical study with 20 tracheotomized patients after unilateral hemispheric stroke...
August 22, 2016: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/27531205/-efficacy-of-early-neurological-and-neurosurgical-rehabilitation-evidence-based-treatment-outcome-and-prognostic-factors
#7
M Pohl, M Bertram
BACKGROUND: Early neurological and neurosurgical rehabilitation (ENNR) as a complex post-acute form of treatment for patients with severe neurological diseases and continued need for intensive care is well established in Germany. OBJECTIVE: To assess the efficacy of ENNR from the perspective of evidence-based medicine as well as to present data on the outcome of ENNR patients including the analysis of prognostic factors. MATERIAL AND METHODS: A search was carried out in PubMed databases to identify early rehabilitation treatment forms evaluated by randomized controlled trials and with respect to large multicenter surveys of outcome and prognostic factors...
October 2016: Der Nervenarzt
https://www.readbyqxmd.com/read/27384435/outcome-of-rehabilitation-and-swallowing-therapy-after-percutaneous-endoscopic-gastrostomy-in-dysphagia-patients
#8
Ezekiel Wong Toh Yoon, Jun Hirao, Naoko Minoda
The objective of this study was to investigate the outcomes of rehabilitation (with swallowing therapy) after percutaneous endoscopic gastrostomy (PEG) in patients with neurogenic dysphagia. Forty-seven patients (29 males and 18 females) who were transferred to the rehabilitation ward of our hospital after receiving PEG tube placements during a 5-year period were enrolled in this study. Patients' demographic data, comorbidities, nutritional statuses, and laboratory biomarkers before the PEG procedure were collected...
July 6, 2016: Dysphagia
https://www.readbyqxmd.com/read/27373047/-the-resection-of-the-huge-mediastinal-schwannoma-by-the-jugulal-approach-one-case-report
#9
Qiang Zhang, Guowei Lu, Dajian Li
Neurogenic tumors located in the posterior mediastinum, generally require surgery which be confronted with greater risk,therefore, to design the best surgical approach and surgical methods is essential. A 67-year-old female patient had pharyngeal foreign body sensation and dysphagia. Thyroid ultrasound showed the right thyroid had a little nodule, and the left thyroid had a hypoechoic lumps. Neck enhanced CT showd mediastinal mass, esophageal tumor origin or stromal tumor? We used the jugular approach to resect the tumor which eventually diagnosed as schwannoma...
February 2016: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
https://www.readbyqxmd.com/read/27209344/nuclear-inclusions-mimicking-poly-a-binding-protein-nuclear-1-inclusions-in-a-case-of-inclusion-body-myopathy-associated-with-paget-disease-of-bone-and-frontotemporal-dementia-with-a-novel-mutation-in-the-valosin-containing-protein-gene
#10
Shiro Matsubara, Toshio Shimizu, Takashi Komori, Madoka Mori-Yoshimura, Narihiro Minami, Yukiko K Hayashi
A middle-aged Japanese man presented with slowly progressive asymmetric weakness of legs and arm but had neither ptosis nor dysphagia. He had a family history of similar condition suggestive of autosomal dominant inheritance. A muscle biopsy showed mixture of neurogenic atrophy and myopathy with rimmed vacuoles. Furthermore we found intranuclear inclusions that had a fine structure mimicking that of inclusions reported in oculopharyngeal muscular dystrophy (OPMD). Immunohistochemical staining for polyadenylate-binding nuclear protein 1, which is identified within the nuclear inclusions of OPMD, demonstrated nuclear positivity in this case...
July 2016: Neuromuscular Disorders: NMD
https://www.readbyqxmd.com/read/27160285/expanding-instrumental-options-for-dysphagia-diagnosis-and-research-ultrasound-and-manometry
#11
Maggie-Lee Huckabee, Phoebe Macrae, Kristin Lamvik
Diagnostic assessment of swallowing in routine clinical practice relies heavily on the long-standing techniques of videofluoroscopic swallowing study (VFSS) and videoendoscopic evaluation of swallowing (VEES). These complementary and sophisticated techniques provide a real-time visualization of biomechanical movements of the structures involved in swallowing and consequent effects on bolus flow. Despite the sophistication of this instrumentation, interpretation relies heavily on subjective clinical judgement and temporal resolution is limited, limitations that may influence patient management...
2015: Folia Phoniatrica et Logopaedica
https://www.readbyqxmd.com/read/26969364/laryngeal-schwannoma-as-an-acute-airway-presentation
#12
Konstantinos Markou, Stamatia Dova, Christos Poulios, Petros Karkos
A schwannoma is a neurogenic tumour arising from nerve sheaths. Between 25% and 45% of schwannomas occur in the head and neck region. Schwannomas of the larynx are extremely rare. They usually occur in women during the fourth and fifth decades of life. We present a case of a laryngeal schwannoma in a 76-year-old patient with acute stridor, hoarseness and dysphagia. Laryngeal conservation surgery was performed without the need for a tracheostomy. One year later, the patient remains symptom-free with no evidence of recurrence...
2016: BMJ Case Reports
https://www.readbyqxmd.com/read/26911194/flexible-endoscopic-evaluation-of-swallowing-fees-for-neurogenic-dysphagia-training-curriculum-of-the-german-society-of-neurology-and-the-german-stroke-society
#13
Rainer Dziewas, Jörg Glahn, Christine Helfer, Guntram Ickenstein, Jochen Keller, Christian Ledl, Beate Lindner-Pfleghar, Darius G Nabavi, Mario Prosiegel, Axel Riecker, Sriramya Lapa, Sönke Stanschus, Tobias Warnecke, Otto Busse
BACKGROUND: Neurogenic dysphagia is one of the most frequent and prognostically relevant neurological deficits in a variety of disorders, such as stroke, parkinsonism and advanced neuromuscular diseases. Flexible endoscopic evaluation of swallowing (FEES) is now probably the most frequently used tool for objective dysphagia assessment in Germany. It allows evaluation of the efficacy and safety of swallowing, determination of appropriate feeding strategies and assessment of the efficacy of different swallowing manoeuvres...
2016: BMC Medical Education
https://www.readbyqxmd.com/read/26889798/is-non-invasive-neuromuscular-electrical-stimulation-effective-in-severe-chronic-neurogenic-dysphagia-reporton-a-post-traumatic-brain-injury-patient
#14
Rocco Salvatore Calabrò, Valeria Conti Nibali, Antonino Naro, Daniela Floridia, Maria Pizzimenti, Lucia Salmeri, Carlo Salviera, Placido Bramanti
BACKGROUND: Neurogenic dysphagia is a difficulty in swallowing induced by nervous system disease. It often causes serious complications, which are preventable if dysphagia is properly managed. There is growing debate concerning the usefulness of non-invasive neuromuscular electrical stimulation (NMES) in treating swallowing dysfunction. OBJECTIVE: Aim of this study was to assess the effectiveness of Vitalstim© device, and to investigate the neurophysiological mechanisms underlying functional recovery...
2016: NeuroRehabilitation
https://www.readbyqxmd.com/read/26889451/malignant-schwannoma-of-the-esophagus-a-rare-case-report
#15
Biswajit Mishra, Kumble Seetharama Madhusudhan, Ragini Kilambi, Prasenjit Das, Sujoy Pal, Deep Narayan Srivastava
Neurogenic tumors are the most prevalent tumors of the mediastinum, and schwannomas are the most common type of neurogenic tumor. Primary neurogenic neoplasm of the esophagus is uncommon and malignant schwannoma of the esophagus is extremely rare. We report a case of a 27-year-old female presenting with dysphagia and palpitations who was found to have a lobulated tumor in the mediastinum that was compressing the esophageal lumen. The tumor was successfully treated surgically without recurrence. The final diagnosis, on histopathological examination of the specimen, was malignant schwannoma...
February 2016: Korean Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/26722339/effectiveness-of-chin-tuck-maneuver-to-facilitate-swallowing-in-neurologic-dysphagia
#16
Mariana Saconato, Brasilia Maria Chiari, Henrique Manoel Lederman, Maria Inês Rebelo Gonçalves
Introduction The chin-tuck maneuver is the most frequently employed postural maneuver in the treatment of neurogenic oropharyngeal dysphagia caused by encephalic vascular strokes and degenerative diseases. Objective The purpose of this study was to investigate the effectiveness of this maneuver in patients with neurogenic dysphagia and factors that could interfere in it. Methods In this retrospective cohort, we analyzed the medical files and videofluoroscopy exams of 35 patients (19 male - 54% and 16 female - 46%; age range between 20 and 89 years old; mean = 69 years)...
January 2016: International Archives of Otorhinolaryngology
https://www.readbyqxmd.com/read/26711168/the-intensive-dysphagia-rehabilitation-approach-applied-to-patients-with-neurogenic-dysphagia-a-case-series-design-study
#17
Georgia A Malandraki, Akila Rajappa, Cagla Kantarcigil, Elise Wagner, Chandra Ivey, Kathleen Youse
OBJECTIVE: To examine the effects of the Intensive Dysphagia Rehabilitation approach on physiological and functional swallowing outcomes in adults with neurogenic dysphagia. DESIGN: Intervention study; before-after trial with 4-week follow-up through an online survey. SETTING: Outpatient university clinics. PARTICIPANTS: A consecutive sample of subjects (N=10) recruited from outpatient university clinics. All subjects were diagnosed with adult-onset neurologic injury or disease...
April 2016: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/26580744/effects-of-repetitive-transcranial-magnetic-stimulation-in-the-rehabilitation-of-communication-and-deglutition-disorders-systematic-review-of-randomized-controlled-trials
#18
Camila Dalbosco Gadenz, Tais de Campos Moreira, Dirce Maria Capobianco, Mauriceia Cassol
OBJECTIVE: To systematically review randomized controlled trials that evaluate the effects of repetitive transcranial magnetic stimulation (rTMS) on rehabilitation aspects related to communication and swallowing functions. METHODS: A search was conducted on PubMed, Clinical Trials, Cochrane Library, and ASHA electronic databases. Studies were judged according to the eligibility criteria and analyzed by 2 independent and blinded researchers. RESULTS: We analyzed 9 studies: 4 about aphasia, 3 about dysphagia, 1 about dysarthria in Parkinson's disease and 1 about linguistic deficits in Alzheimer's disease...
2015: Folia Phoniatrica et Logopaedica
https://www.readbyqxmd.com/read/26522989/sarcocystis-fayeri-in-skeletal-muscle-of-horses-with-neuromuscular-disease
#19
Monica Aleman, Karen Shapiro, Silvia Sisó, Diane C Williams, Daniel Rejmanek, Beatriz Aguilar, Patricia A Conrad
Recent reports of Sarcocystis fayeri-induced toxicity in people consuming horse meat warrant investigation on the prevalence and molecular characterization of Sarcocystis spp. infection in horses. Sarcocysts in skeletal muscle of horses have been commonly regarded as an incidental finding. In this study, we investigated the prevalence of sarcocysts in skeletal muscle of horses with neuromuscular disease. Our findings indicated that S. fayeri infection was common in young mature horses with neuromuscular disease and could be associated with myopathic and neurogenic processes...
January 2016: Neuromuscular Disorders: NMD
https://www.readbyqxmd.com/read/26411273/-factors-associated-with-post-stroke-oropharingeal-dysphagia
#20
Rodolfo Peña-Chávez, Miguel López-Espinoza, Madelein Guzmán-Inostroza, Mirna Jara-Parra, Claudia Sepúlveda-Arriagada, Constanza Sepulveda-Arriagada, Priscila Zapata-Sepúlveda
INTRODUCTION: Neurogenic dysphagia is a consequence of stroke that sometimes threatens the patient's life. The magnitude of the brain damage commonly generated by stroke generates the emergence of other disorders that accompany dysphagia and worsen the patient's health. AIM: To analyze possible associations between communication disorders, disease factors, demographic factors and comorbidities with post-stroke dysphagia in years 2009 to 2011. PATIENTS AND METHODS: We studied 1519 medical records of patients that suffered stroke between 2009 and 2011...
October 1, 2015: Revista de Neurologia
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