Dysphagia following brain-stem stroke. Clinical correlates and outcome

J. Horner, F. G. Buoyer, M. J. Alberts, M. J. Helms

Research output: Contribution to journalArticle

155 Citations (Scopus)

Abstract

We studied 23 individuals (16 men, seven women; mean age 57 years) who had brainstem strokes confirmed by computed tomography of the head or magnetic resonance imaging. Videofluoroscopic modified barium-swallowing examination showed aspiration in 15 of 23 patients. Of the 15 aspirating patients, the majority had bilateral strokes with multiple lesion loci, most often in association with large-vessel disease. All 15 patients had involvement of the pons or medulla. Statistical analyses revealed a significant association between aspiration and pharyngeal residue observed under videofluoroscopy, cranial nerve IX abnormality, vocal fold weakness, and severe dysarthria. Despite initial severity, recovery was good. Following an aggressive program of aspiration prevention, over 80% of patients resumed full oral nutrition at the last follow-up.

Original languageEnglish (US)
Pages (from-to)1170-1173
Number of pages4
JournalArchives of Neurology
Volume48
Issue number11
StatePublished - 1991

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Deglutition Disorders
Brain Stem
Stroke
Brain Stem Infarctions
Glossopharyngeal Nerve
Dysarthria
Pons
Vocal Cords
Barium
Deglutition
Head
Tomography
Magnetic Resonance Imaging
Dysphagia
Aspiration

ASJC Scopus subject areas

  • Neuroscience(all)

Cite this

Horner, J., Buoyer, F. G., Alberts, M. J., & Helms, M. J. (1991). Dysphagia following brain-stem stroke. Clinical correlates and outcome. Archives of Neurology, 48(11), 1170-1173.

Dysphagia following brain-stem stroke. Clinical correlates and outcome. / Horner, J.; Buoyer, F. G.; Alberts, M. J.; Helms, M. J.

In: Archives of Neurology, Vol. 48, No. 11, 1991, p. 1170-1173.

Research output: Contribution to journalArticle

Horner, J, Buoyer, FG, Alberts, MJ & Helms, MJ 1991, 'Dysphagia following brain-stem stroke. Clinical correlates and outcome', Archives of Neurology, vol. 48, no. 11, pp. 1170-1173.
Horner, J. ; Buoyer, F. G. ; Alberts, M. J. ; Helms, M. J. / Dysphagia following brain-stem stroke. Clinical correlates and outcome. In: Archives of Neurology. 1991 ; Vol. 48, No. 11. pp. 1170-1173.
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