Long Term Improvement of Dysphagia in Lateral Medullary Infarction: A Case Report / 이화의대지
The Ewha Medical Journal
; : 135-139, 2012.
Article
em En
| WPRIM
| ID: wpr-211918
Biblioteca responsável:
WPRO
ABSTRACT
This report concerns a male patient suffered from refractory dysphagia after subarachnoid hemorrhage. A 49-year-old man admitted with severe headache followed by mental change. Imaging studies revealed that subarachnoid hemorrhage was located in basal cistern, and demonstrated ruptured vertebral dissecting aneurysm. After operation, the patient recovered well except severe dysphagia. Initial VFSS showed aspiration in fluid trial, penetration in semisolid bolus, and large amount of pharyngeal residue with poor relaxation of upper esophageal sphincter. For about 5 months, his symptom and several follow-up VFSS findings did not show marked improvement by various treatments. On magnetic resonance imaging for further evaluation of his brain lesion, an old infarction in right lateral side of medulla was found. He kept dysphagia rehabilitation more than one year, and his symptom improved to the level of oral feeding at last.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Relaxamento
/
Hemorragia Subaracnóidea
/
Encéfalo
/
Imageamento por Ressonância Magnética
/
Transtornos de Deglutição
/
Seguimentos
/
Esfíncter Esofágico Superior
/
Cefaleia
/
Infarto
/
Dissecção Aórtica
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Humans
/
Male
Idioma:
En
Ano de publicação:
2012
Tipo de documento:
Article