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No Shinkei Geka ; 42(3): 227-31, 2014 Mar.
Artigo em Japonês | MEDLINE | ID: mdl-24598872

RESUMO

A 69-year-old woman presented with dysphagia due to Wallenberg syndrome. Videofluorography revealed unilateral dysfunction of the cricopharyngeal muscle, which caused stenosis of the esophageal entrance on the affected side. Pharyngeal fiberscopy indicated that glottal function and the cough reflex were preserved and that the pharyngeal reflex was lost. The stenosis of the esophageal entrance due to dysfunction of the cricopharyngeal muscle on the affected side and the loss of the pharyngeal reflex were considered to cause the patient's dysphagia. Based on above mentioned findings, the intermittent air stretching method with balloon catheter(IASM)was performed. As a result, dysphagia showed rapid improvement without any complications such as aspiration or bleeding. Thus, the IASM may be effective in some cases of dysphagia due to Wallenberg syndrome.


Assuntos
Catéteres , Transtornos de Deglutição/terapia , Síndrome Medular Lateral/terapia , Idoso , Transtornos de Deglutição/diagnóstico , Transtornos de Deglutição/etiologia , Transtornos de Deglutição/reabilitação , Feminino , Humanos , Síndrome Medular Lateral/complicações , Síndrome Medular Lateral/diagnóstico , Exercícios de Alongamento Muscular/métodos , Resultado do Tratamento
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