The Effect of Stroke on Pharyngeal Laterality During Swallowing
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objective To investigate whether patterns of dysphagia and swallowing laterality differ according to the location of brain lesions in patients with stroke.Methods Patients with stroke >20 years of age were enrolled in this study. A videofluoroscopic swallowing study (VFSS) including the anterior-posterior view was used to assess swallowing. Patterns of swallowing were classified into three types according to the width of barium sulfate flow while passing the pharyngoesophageal segment: right-side-dominant flow, left-side-dominant flow, and no laterality in flow. Laterality was defined when the width of one side was twice or more the width of the other side.Results A total of 92 patients who underwent swallowing function evaluations by VFSS were enrolled from Sep-tember 2012 to May 2013. Of these, 72 patients had supratentorial lesions (group I) and 20 patients had infratento-rial lesions (group II). Only 10 patients (13.9%) in group I and three patients (15.0%) in group II showed laterality. Of these 13 patients, laterality occurred on the left side regardless of the side of the brain lesion. No relationships were found between swallowing laterality and location of stroke or motor weakness.Conclusion The results suggest that swallowing laterality was not prevalent among patients with stroke and that lesion side, location of the brain lesion, or motor weakness did not influence swallowing laterality. Although stroke can cause symptoms of dysphagia, it is difficult to conclude that stroke has a crucial impact on swallowing laterality.
Abstract
Objective To investigate whether patterns of dysphagia and swallowing laterality differ according to the location of brain lesions in patients with stroke.Methods Patients with stroke >20 years of age were enrolled in this study. A videofluoroscopic swallowing study (VFSS) including the anterior-posterior view was used to assess swallowing. Patterns of swallowing were classified into three types according to the width of barium sulfate flow while passing the pharyngoesophageal segment: right-side-dominant flow, left-side-dominant flow, and no laterality in flow. Laterality was defined when the width of one side was twice or more the width of the other side.Results A total of 92 patients who underwent swallowing function evaluations by VFSS were enrolled from September 2012 to May 2013. Of these, 72 patients had supratentorial lesions (group I) and 20 patients had infratentorial lesions (group II). Only 10 patients (13.9%) in group I and three patients (15.0%) in group II showed laterality. Of these 13 patients, laterality occurred on the left side regardless of the side of the brain lesion. No relationships were found between swallowing laterality and location of stroke or motor weakness.Conclusion The results suggest that swallowing laterality was not prevalent among patients with stroke and that lesion side, location of the brain lesion, or motor weakness did not influence swallowing laterality. Although stroke can cause symptoms of dysphagia, it is difficult to conclude that stroke has a crucial impact on swallowing laterality.
참고문헌 (32)
- Meng NH, "Dysphagia in patients with brainstem stroke: incidence and outcome", Am J Phys Med Rehabil, 79, pp.170~175 (2000)
- Falsetti P, "Oropharyngeal dysphagia after stroke: incidence, diagnosis, and clinical predictors in patients admitted to a neurorehabilitation unit", J Stroke Cerebrovasc Dis, 18, pp.329~335 (2009)
- Bussell SA, "Racial disparities in the development of dysphagia after stroke: further evidence from the Medicare database", Arch Phys Med Rehabil, 92, pp.737~742 (2011)
- Barer DH., "The natural history and functional consequences of dysphagia after hemispheric stroke", J Neurol Neurosurg Psychiatry, 52, pp.236~241 (1989)
- Cola MG, "Relevance of subcortical stroke in dysphagia", Stroke, 41, pp.482~486 (2010)
- 박대환, "Comparison of Swallowing Functions Between Brain Tumor and Stroke Patients", Annals of Rehabilitation Medicine, 37(5), pp.633~641 (2013), 대한재활의학회
- Martino R, "Dysphagia after stroke: incidence, diagnosis, and pulmonary complications", Stroke, 36, pp.2756~2763 (2005)
- Humbert IA, "Dysphagia in the elderly", Phys Med Rehabil Clin N Am, 19, pp.853~866 (2008)
- Langdon PC, "Dysphagia in acute ischaemic stroke: severity, recovery and relationship to stroke subtype", J Clin Neurosci, 14, pp.630~634 (2007)
- Kim SY, "Differences in videofluoroscopic swallowing study (VFSS) findings according to the vascular territory involved in stroke", Dysphagia, 29, pp.444~449 (2014)
- Kim HM, "Patients’ radiation dose during videofluoroscopic swallowing studies according to underlying characteristics", Dysphagia, 28, pp.153~158 (2013)
- Bhattacharyya N, "The effect of bolus consistency on dysphagia in unilateral vocal cord paralysis", Otolaryngol Head Neck Surg, 129, pp.632~636 (2003)
- Seta H, "Laterality of swallowing in healthy subjects by AP projection using videofluoroscopy", Dysphagia, 21, pp.191~197 (2006)
- Mosier KM, "Lateralization of cortical function in swallowing: a functional MR imaging study", AJNR Am J Neuroradiol, 20, pp.1520~1526 (1999)
- Min Seok Kim, "The Influence of Laterality of Pharyngeal Bolus Passage on Dysphagia in Hemiplegic Stroke Patients", Annals of Rehabilitation Medicine, 36(5), pp.696~701 (2012), 대한재활의학회
- 이청기, "뇌졸증 환자에서 뇌 병변 위치에 따른 연하곤란의 양상", Annals of Rehabilitation Medicine, 25(2), pp.193~201 (2001), 대한재활의학회
- Kim J, "Clinical factors associated with severity of post-stroke dysphagia", Brain Neurorehabil, 4, pp.116~120 (2011)
- 한태륜, "임상 소견을 이용한 뇌졸중 환자의 기능적 연하곤란 척도", 대한뇌졸중학회지, 3(2), pp.153~157 (2001), 대한뇌졸중학회
- Han TR, "Quantifying swallowing function after stroke: a functional dysphagia scale based on videofluoroscopic studies", Arch Phys Med Rehabil, 82, pp.677~682 (2001)
- Han TR, "The functional dysphagia scale using videofluoroscopic swallowing study in stroke patients", J Korean Acad Rehabil Med, 23, pp.1118~1126 (1999)
- Rosenbek JC, "A penetration-aspiration scale", Dysphagia, 11, pp.93~98 (1996)
- Lin CW, "Prolonged swallowing time in dysphagic Parkinsonism patients with aspiration pneumonia", Arch Phys Med Rehabil, 93, pp.2080~2084 (2012)
- Martin BJ, "The association of swallowing dysfunction and aspiration pneumonia", Dysphagia, 9, pp.1~6 (1994)
- Khedr EM, "Dysphagia and hemispheric stroke: a transcranial magnetic study", Neurophysiol Clin, 38, pp.235~242 (2008)
- Alberts MJ, "Aspiration after stroke: lesion analysis by brain MRI", Dysphagia, 7, pp.170~173 (1992)
- Broadley S, "Predictors of prolonged dysphagia following acute stroke", J Clin Neurosci, 10, pp.300~305 (2003)
- Hamdy S, "Explaining oropharyngeal dysphagia after unilateral hemispheric stroke", Lancet, 350, pp.686~692 (1997)
- Mosier KM, "Lateralization of cortical function in swallowing: a functional MR imaging study", AJNR Am J Neuroradiol, 20, pp.1520~1526 (1999)
- Teismann IK, "Cortical swallowing processing in early subacute stroke", BMC Neurol, 11, pp.34~ (2011)
- Hamdy S, "Recovery of swallowing after dysphagic stroke relates to functional reorganization in the intact motor cortex", Gastroenterology, 115, pp.1104~1112 (1998)
- Hamdy S, "Long-term reorganization of human motor cortex driven by short-term sensory stimulation", Nat Neurosci, 1, pp.64~68 (1998)
- Schmalfuss IM, "Postcricoid region and cervical esophagus: normal appearance at CT and MR imaging", Radiology, 214, pp.237~246 (2000)