High Resolution Manometry Analysis of a Patient With Dysphagia After Occiput-C3/4 Posterior Fusion Operation

被引：10

作者：

Oh, Yoongul ^{[1
]}

Lee, Seok Tae ^{[1
]}

Ryu, Ju Seok ^{[2
]}

机构：

[1] CHA Univ, Dept Rehabil Med, CHA Bundang Med Ctr, Seongnam, South Korea

[2] Seoul Natl Univ, Dept Rehabil Med, Bundang Hosp, Coll Med, 82 Gumi Ro 173beon Gil, Seongnam 13620, South Korea

来源：

ANNALS OF REHABILITATION MEDICINE-ARM | 2015年 / 39卷 / 06期

基金：

新加坡国家研究基金会;

关键词：

Manometry; Deglutition disorders; Cervical vertebrae; Neurosurgery;

D O I：

10.5535/arm.2015.39.6.1028

中图分类号：

R49 [康复医学];

学科分类号：

100215 ;

摘要：

Many reports of changes in cervical alignment after posterior occipitocervical (O-C) fusion causing dysphagia are available. The clinical course can range from mild discomfort to severe aspiration. However, the underlying pathogenesis is not well known. We report an 80-year-old female with videofluoroscopic swallowing study evidence of aspiration that developed after occiput-C3/4 posterior fusion. Pharyngeal pressure was analyzed using high resolution manometry (HRM). Impaired upper esophageal sphincter opening along with diminished peristalsis and pharyngeal pressure gradient were revealed by HRM to be the main characteristics in such patients. The patient fully recovered after a revision operation for cervical angle correction. Distinct pressure patterns behind reversible dysphagia caused by a change in cervical alignment were confirmed using HRM analysis.

引用

页码：1028 / 1032

页数：5

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