Correlation between brain injury and dysphagia in adult patients with stroke
Introduction: In the literature, the incidence of oropharyngeal dysphagia in patients with cerebrovascular accident (AVE) ranges 20-90%. Some studies correlate the location of a stroke with dysphagia, while others do not. Objective: To correlate brain injury with dysphagia in patients with stroke in...
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2012-01-01
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doaj-d8e7f2f7279e41b99cb4e5e7c249e7d02020-11-25T03:31:01ZengThieme Revinter Publicações Ltda.International Archives of Otorhinolaryngology1809-97771809-48642012-01-01163313321Correlation between brain injury and dysphagia in adult patients with strokeNunes, Maria Cristina de AlencarJurkiewicz, Ari LeonSantos, Rosane SampaioFurkim, Ana MariaMassi, GisellePinto, Gisele Sant´AnaLange, Marcos ChristianoIntroduction: In the literature, the incidence of oropharyngeal dysphagia in patients with cerebrovascular accident (AVE) ranges 20-90%. Some studies correlate the location of a stroke with dysphagia, while others do not. Objective: To correlate brain injury with dysphagia in patients with stroke in relation to the type and location of stroke. Method: A prospective study conducted at the Hospital de Clinicas with 30 stroke patients: 18 women and 12 men. All patients underwent clinical evaluation and swallowing nasolaryngofibroscopy (FEES®), and were divided based on the location of the injury: cerebral cortex, cerebellar cortex, subcortical areas, and type: hemorrhagic or transient ischemic. Results: Of the 30 patients, 18 had ischemic stroke, 10 had hemorrhagic stroke, and 2 had transient stroke. Regarding the location, 10 lesions were in the cerebral cortex, 3 were in the cerebral and cerebellar cortices, 3 were in the cerebral cortex and subcortical areas, and 3 were in the cerebral and cerebellar cortices and subcortical areas. Cerebral cortex and subcortical area ischemic strokes predominated in the clinical evaluation of dysphagia. In FEES®, decreased laryngeal sensitivity persisted following cerebral cortex and ischemic strokes. Waste in the pharyngeal recesses associated with epiglottic valleculae predominated in the piriform cortex in all lesion areas and in ischemic stroke. A patient with damage to the cerebral and cerebellar cortices from an ischemic stroke exhibited laryngeal penetration and tracheal aspiration of liquid and honey. Conclusion: Dysphagia was prevalent when a lesion was located in the cerebral cortex and was of the ischemic type.http://www.internationalarchivesent.org/additional/acervo_eng.asp?id=1282strokedeglutition disordersischemic attacktransient |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Nunes, Maria Cristina de Alencar Jurkiewicz, Ari Leon Santos, Rosane Sampaio Furkim, Ana Maria Massi, Giselle Pinto, Gisele Sant´Ana Lange, Marcos Christiano |
spellingShingle |
Nunes, Maria Cristina de Alencar Jurkiewicz, Ari Leon Santos, Rosane Sampaio Furkim, Ana Maria Massi, Giselle Pinto, Gisele Sant´Ana Lange, Marcos Christiano Correlation between brain injury and dysphagia in adult patients with stroke International Archives of Otorhinolaryngology stroke deglutition disorders ischemic attack transient |
author_facet |
Nunes, Maria Cristina de Alencar Jurkiewicz, Ari Leon Santos, Rosane Sampaio Furkim, Ana Maria Massi, Giselle Pinto, Gisele Sant´Ana Lange, Marcos Christiano |
author_sort |
Nunes, Maria Cristina de Alencar |
title |
Correlation between brain injury and dysphagia in adult patients with stroke |
title_short |
Correlation between brain injury and dysphagia in adult patients with stroke |
title_full |
Correlation between brain injury and dysphagia in adult patients with stroke |
title_fullStr |
Correlation between brain injury and dysphagia in adult patients with stroke |
title_full_unstemmed |
Correlation between brain injury and dysphagia in adult patients with stroke |
title_sort |
correlation between brain injury and dysphagia in adult patients with stroke |
publisher |
Thieme Revinter Publicações Ltda. |
series |
International Archives of Otorhinolaryngology |
issn |
1809-9777 1809-4864 |
publishDate |
2012-01-01 |
description |
Introduction: In the literature, the incidence of oropharyngeal dysphagia in patients with cerebrovascular accident (AVE) ranges 20-90%. Some studies correlate the location of a stroke with dysphagia, while others do not. Objective: To correlate brain injury with dysphagia in patients with stroke in relation to the type and location of stroke. Method: A prospective study conducted at the Hospital de Clinicas with 30 stroke patients: 18 women and 12 men. All patients underwent clinical evaluation and swallowing nasolaryngofibroscopy (FEES®), and were divided based on the location of the injury: cerebral cortex, cerebellar cortex, subcortical areas, and type: hemorrhagic or transient ischemic. Results: Of the 30 patients, 18 had ischemic stroke, 10 had hemorrhagic stroke, and 2 had transient stroke. Regarding the location, 10 lesions were in the cerebral cortex, 3 were in the cerebral and cerebellar cortices, 3 were in the cerebral cortex and subcortical areas, and 3 were in the cerebral and cerebellar cortices and subcortical areas. Cerebral cortex and subcortical area ischemic strokes predominated in the clinical evaluation of dysphagia. In FEES®, decreased laryngeal sensitivity persisted following cerebral cortex and ischemic strokes. Waste in the pharyngeal recesses associated with epiglottic valleculae predominated in the piriform cortex in all lesion areas and in ischemic stroke. A patient with damage to the cerebral and cerebellar cortices from an ischemic stroke exhibited laryngeal penetration and tracheal aspiration of liquid and honey. Conclusion: Dysphagia was prevalent when a lesion was located in the cerebral cortex and was of the ischemic type. |
topic |
stroke deglutition disorders ischemic attack transient |
url |
http://www.internationalarchivesent.org/additional/acervo_eng.asp?id=1282 |
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