Improvement of Dysphagia in Traumatic Neurovascular Compression: A Case Report and Collective Review
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Dysphagia is a relatively rare symptom of neurovascular compression of the lower cranial nerve (CN). Many casereviews of neurovascular compression required surgical treatment to improve the neurological symptoms. This reportpresents a 75-year-old female patient who complained of dysphagia due to neurovascular compression of CNsIX-XI at the left side after the onset period. The symptom was improved by treating with balloon swallowing rehabilitation(BSR). In a video fluoroscopic swallowing study (VFSS), no significant manifestations were observed inthe oral phase. On the other hand, profuse post-swallow residue decreased pharyngeal propulsion were observedwithout aspiration or penetration during the semisolid portion of the swallowing test. To reduce the pharyngealremnant and improve pharyngeal propulsion, the BSR protocol was performed and the patient recovered quickly. Follow-up VFSS showed improvement in the post-swallow residue from 42.6 to 7.3%. After discharge, the patientcould resume a normal diet without complications. Based on this observed result, it is advantageous to consider theoption of a prescribed rehabilitation program over surgical treatment.
Abstract
Dysphagia is a relatively rare symptom of neurovascular compression of the lower cranial nerve (CN). Many casereviews of neurovascular compression required surgical treatment to improve the neurological symptoms. This reportpresents a 75-year-old female patient who complained of dysphagia due to neurovascular compression of CNsIX-XI at the left side after the onset period. The symptom was improved by treating with balloon swallowing rehabilitation(BSR). In a video fluoroscopic swallowing study (VFSS), no significant manifestations were observed inthe oral phase. On the other hand, profuse post-swallow residue decreased pharyngeal propulsion were observedwithout aspiration or penetration during the semisolid portion of the swallowing test. To reduce the pharyngealremnant and improve pharyngeal propulsion, the BSR protocol was performed and the patient recovered quickly. Follow-up VFSS showed improvement in the post-swallow residue from 42.6 to 7.3%. After discharge, the patientcould resume a normal diet without complications. Based on this observed result, it is advantageous to consider theoption of a prescribed rehabilitation program over surgical treatment.
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