Persistent post-stroke dysphagia treated with cricopharyngeal myotomy

被引：7

作者：

Nair, Sruthi S. ^{[1
]}

Surendaran, Arathy Jalaja ^{[1
]}

Menon, Jayakumar R. ^{[2
]}

Sreedharan, Sapna Erat ^{[1
]}

Sylaja, Padmavathy N. ^{[1
]}

机构：

[1] Sree Chitra Tirunal Inst Med Sci & Technol, Comprehens Stroke Care Program, Dept Neurol, Thiruvananthapuram 695011, Kerala, India

[2] Kerala Inst Med Sci, Dept Otorhinolaryngol, Thiruvananthapuram, Kerala, India

来源：

ANNALS OF INDIAN ACADEMY OF NEUROLOGY | 2016年 / 19卷 / 02期

关键词：

Cricopharyngealmyotomy; post-stroke dysphagia; videofluoroscopy; NATURAL-HISTORY; BOTULINUM TOXIN; STROKE; COMPLICATIONS; DIAGNOSIS;

D O I：

10.4103/0972-2327.160055

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Post-stroke dysphagia is a common problem after stroke. About 8-13% patients have persistent dysphagia and are unable to return to pre-stroke diet even after 6 months of stroke. Use of percutaneous endoscopic gastrostomy (PEG) may be required in these patients, which may be psychologically unacceptable and impair the quality of life. In those with cricopharyngeal dysfunction leading on to refractory post-stroke dysphagia, cricopharyngeal myotomy and injection of botulinum toxin are the treatment options. We present a case of vertebrobasilar stroke who had persistent dysphagia due to cricopharyngeal dysfunction with good recovery of swallowing function following cricopharyngeal myotomy 1.5 years after the stroke.

引用

页码：249 / 251

页数：3

共 16 条

[1] Dysphagia in lateral medullary infarction (Wallenberg's syndrome) - An acute disconnection syndrome in premotor neurons related to swallowing activity? [J].