Diagnosis With Manometry and Treatment With Repetitive Transcranial Magnetic Stimulation in Dysphagia
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Videofluoroscopic swallowing study (VFSS) used for the diagnosis of dysphagia has limitations in objectively assessing the contractility of the pharyngeal muscle or the degree of the upper esophageal sphincter relaxation. With a manometer, however, it is possible to objectively assess the pressure changes in the pharynx caused by pharyngeal muscle contraction during swallowing or upper esophageal sphincter relaxation, hence remedying the limitations of VFSS. The following case report describes a patient diagnosed with lateral medullar infarction presenting a 52-year-old male who had dysphagia. We suggested that the manometer could be used to assess the specific site of dysfunction in patients with dysphagia complementing the limitations of VFSS. We also found that repetitive transcranial magnetic stimulation was effective in treating patients refractory to traditional dysphagia rehabilitation.
Abstract
Videofluoroscopic swallowing study (VFSS) used for the diagnosis of dysphagia has limitations in objectively assessing the contractility of the pharyngeal muscle or the degree of the upper esophageal sphincter relaxation. With a manometer, however, it is possible to objectively assess the pressure changes in the pharynx caused by pharyngeal muscle contraction during swallowing or upper esophageal sphincter relaxation, hence remedying the limitations of VFSS. The following case report describes a patient diagnosed with lateral medullar infarction presenting a 52-year-old male who had dysphagia. We suggested that the manometer could be used to assess the specific site of dysfunction in patients with dysphagia complementing the limitations of VFSS. We also found that repetitive transcranial magnetic stimulation was effective in treating patients refractory to traditional dysphagia rehabilitation.
참고문헌 (9)
- Singh S., "Dysphagia in stroke patients", Postgrad Med J, 82, pp.383~391 (2006)
- Sessle BJ., "Neural mechanisms of swallowing : neurophysiological and neurochemical studies on brain stem neurons in the solitary tract region", Dysphagia, 4, pp.61~75 (1989)
- Higo R., "Manometric abnormality in dysphagic patients after medullary cerebrovascular accidents", ORL J Otorhinolaryngol Relat Spec, 64, pp.368~372 (2002)
- Jean A., "Brainstem organization of the swallowing network", Brain Behav Evol, 25, pp.109~116 (1984)
- Hila A., "Pharyngeal and upper esophageal sphincter manometry in the evaluation of dysphagia", J Clin Gastroenterol, 33, pp.355~361 (2001)
- Khedr EM., "Therapeutic role of rTMS on recovery of dysphagia in patients with lateral medullary syndrome and brainstem infarction", J Neurol Neurosurg Psychiatry, 81, pp.495~499 (2010)
- Jefferson S., "Reversal of a virtual lesion in human pharyngeal motor cortex by high frequency contralesional brain stimulation", Gastroenterology, 137, pp.841~849 (2009)
- Fukuoka T., "Clinical review of 37 patients with medullary infarction", J Stroke Cerebrovasc Dis, 21, pp.594~599 (2012)
- Ertekin C., "Cricopharyngeal sphincter muscle responses to transcranial magnetic stimulation in normal subjects and in patients with dysphagia", Clin Neurophysiol, 112, pp.86~94 (2001)