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Mentally handicapped disabled dysphagia

K Ogawa, K Kanemoto, Y Ishii, M Koyama, Y Shirasaka, J Kawasaki, S Yamasaki
A long-term follow-up study of Lennox-Gastaut syndrome (LGS) ( > 10 years) was conducted with 38 patients with severe motor and intellectual disabilities (SMID) to clarify the relationship between the rapid development of dysphagia and epileptic seizures, and to elucidate the long-term evolution of LGS in patients with SMID. Those who showed a relatively favourable seizure outcome were compared to those with a poor seizure outcome. Poor seizure outcome correlated strongly with: (a) an early appearance of dysphagia and additional deterioration of the already retarded mental function; (b) a predominance of atypical absence seizures; and (c) persistent frequent epileptiform discharges during electroencephalographic evaluations...
April 2001: Seizure: the Journal of the British Epilepsy Association
S Asgarali, V Nandapalan, D Phillips, O Osunuga
A case is reported of a mentally handicapped women with dysphagia caused by a foreign body impacted in the pharynx. The case illustrates a potential pitfall in the management of patients who are unable to communicate either verbally or in writing and who present with acute dysphagia.
July 1996: Journal of Accident & Emergency Medicine
H J Dallal, J Odum, N K Ahluwalia
Mentally handicapped patients with esophageal pathology may present a diagnostic challenge, as they may not complain of any specific symptoms or be able to give a clear history of either dysphagia or odynophagia. This paper reports 2 such patients who recently presented to the Royal Wolverhampton Hospitals. In the first case, upper gastrointestinal endoscopy under general anesthesia enabled both the identification and removal of a large esophageal foreign body. In the second case, repeated upper gastrointestinal endoscopy facilitated both the identification and nonsurgical management of a paraesophageal abscess...
1996: Dysphagia
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