Dysphagia in Patients With Frontotemporal Lobar Dementia

Abstract

Background: Hyperorality, compulsive eating and aspiration because of food gorging, has been described in patients with frontotemporal lobar dementia (FTLD), but swallowing function in this population has not been reported. Objective: To identify the swallowing status in a sample of patients with FTLD.

Swallowing in primary progressive aphasia

“…Unlike other studies (Ikeda, Brown, Holland, Fukuhara, & Hodges, 2002; Langmore, Olney, Lomen-Hoerth, & Miller, 2007), we observed various swallowing problems in patients with PPA-S. The problem “drooling mouth saliva or food”, for example, was observed only in patients with PPA-S in our study.…”

“…Unlike other studies (Ikeda, Brown, Holland, Fukuhara, & Hodges, 2002;Langmore, Olney, Lomen-Hoerth, & Miller, 2007), we observed various swallowing problems in patients with PPA-S. The problem "drooling mouth saliva or food", for AFSDD: Assessment of Feeding and Swallowing Difficulties in Dementia; PPA: primary progressive aphasia; PPA-G: agrammatic primary progressive aphasia; PPA-L: logopenic primary progressive aphasia; PPA-S: semantic primary progressive aphasia.…”

Swallowing in primary progressive aphasia

“…Unlike other studies (Ikeda, Brown, Holland, Fukuhara, & Hodges, 2002; Langmore, Olney, Lomen-Hoerth, & Miller, 2007), we observed various swallowing problems in patients with PPA-S. The problem “drooling mouth saliva or food”, for example, was observed only in patients with PPA-S in our study.…”

“…Unlike other studies (Ikeda, Brown, Holland, Fukuhara, & Hodges, 2002;Langmore, Olney, Lomen-Hoerth, & Miller, 2007), we observed various swallowing problems in patients with PPA-S. The problem "drooling mouth saliva or food", for AFSDD: Assessment of Feeding and Swallowing Difficulties in Dementia; PPA: primary progressive aphasia; PPA-G: agrammatic primary progressive aphasia; PPA-L: logopenic primary progressive aphasia; PPA-S: semantic primary progressive aphasia.…”

Multidimensional Evaluation in Primary Progressive Aphasia: Cognitive, Language, Swallowing, Quality of Life, Independence Status, and Depression

“…Although dysphagia was not defined because the 181 points obtained by the patient from T-MASA was higher than the cutoff value of 169, it would be useful to select therapy targets by taking into account the difficulties experienced in certain components such as lip closure, tongue movement, strength, coordination, oral transition, and bolus clearance. Delayed onset of swallowing and early spillage of the bolus into the pharynx are symptoms of dysphagia characterized in patients with FTD [43,44]. The patient's findings are consistent with the literature.…”

Prevalence, Risk Factors, and Complications of Oropharyngeal Dysphagia in Older Patients with Dementia

“…There is a higher incidence of aspiration in patients with more severe dementia [28]. Our prevalence of OD is higher than that found by other authors that used instrumental assessments [29,30] and similar to that in one study of older patients with dementia from an outpatient clinic assessed also with the V-VST (85.9% vs. 86.6%) [13]. However, in the latter study, only 8.9% of OD patients presented severe dementia (68.2% in ours) and fewer signs of impaired safety of swallow (46.40% vs. 81.7% in ours).…”

Swallowing in primary progressive aphasia

“…Unlike other studies (Ikeda, Brown, Holland, Fukuhara, & Hodges, 2002; Langmore, Olney, Lomen-Hoerth, & Miller, 2007), we observed various swallowing problems in patients with PPA-S. The problem “drooling mouth saliva or food”, for example, was observed only in patients with PPA-S in our study.…”

“…Unlike other studies (Ikeda, Brown, Holland, Fukuhara, & Hodges, 2002;Langmore, Olney, Lomen-Hoerth, & Miller, 2007), we observed various swallowing problems in patients with PPA-S. The problem "drooling mouth saliva or food", for AFSDD: Assessment of Feeding and Swallowing Difficulties in Dementia; PPA: primary progressive aphasia; PPA-G: agrammatic primary progressive aphasia; PPA-L: logopenic primary progressive aphasia; PPA-S: semantic primary progressive aphasia.…”

Multidimensional Evaluation in Primary Progressive Aphasia: Cognitive, Language, Swallowing, Quality of Life, Independence Status, and Depression

“…Although dysphagia was not defined because the 181 points obtained by the patient from T-MASA was higher than the cutoff value of 169, it would be useful to select therapy targets by taking into account the difficulties experienced in certain components such as lip closure, tongue movement, strength, coordination, oral transition, and bolus clearance. Delayed onset of swallowing and early spillage of the bolus into the pharynx are symptoms of dysphagia characterized in patients with FTD [43,44]. The patient's findings are consistent with the literature.…”

Prevalence, Risk Factors, and Complications of Oropharyngeal Dysphagia in Older Patients with Dementia

“…There is a higher incidence of aspiration in patients with more severe dementia [28]. Our prevalence of OD is higher than that found by other authors that used instrumental assessments [29,30] and similar to that in one study of older patients with dementia from an outpatient clinic assessed also with the V-VST (85.9% vs. 86.6%) [13]. However, in the latter study, only 8.9% of OD patients presented severe dementia (68.2% in ours) and fewer signs of impaired safety of swallow (46.40% vs. 81.7% in ours).…”

Swallowing in primary progressive aphasia

“…Unlike other studies (Ikeda, Brown, Holland, Fukuhara, & Hodges, 2002; Langmore, Olney, Lomen-Hoerth, & Miller, 2007), we observed various swallowing problems in patients with PPA-S. The problem “drooling mouth saliva or food”, for example, was observed only in patients with PPA-S in our study.…”

“…Unlike other studies (Ikeda, Brown, Holland, Fukuhara, & Hodges, 2002;Langmore, Olney, Lomen-Hoerth, & Miller, 2007), we observed various swallowing problems in patients with PPA-S. The problem "drooling mouth saliva or food", for AFSDD: Assessment of Feeding and Swallowing Difficulties in Dementia; PPA: primary progressive aphasia; PPA-G: agrammatic primary progressive aphasia; PPA-L: logopenic primary progressive aphasia; PPA-S: semantic primary progressive aphasia.…”

Multidimensional Evaluation in Primary Progressive Aphasia: Cognitive, Language, Swallowing, Quality of Life, Independence Status, and Depression

“…Although dysphagia was not defined because the 181 points obtained by the patient from T-MASA was higher than the cutoff value of 169, it would be useful to select therapy targets by taking into account the difficulties experienced in certain components such as lip closure, tongue movement, strength, coordination, oral transition, and bolus clearance. Delayed onset of swallowing and early spillage of the bolus into the pharynx are symptoms of dysphagia characterized in patients with FTD [43,44]. The patient's findings are consistent with the literature.…”

Prevalence, Risk Factors, and Complications of Oropharyngeal Dysphagia in Older Patients with Dementia

“…There is a higher incidence of aspiration in patients with more severe dementia [28]. Our prevalence of OD is higher than that found by other authors that used instrumental assessments [29,30] and similar to that in one study of older patients with dementia from an outpatient clinic assessed also with the V-VST (85.9% vs. 86.6%) [13]. However, in the latter study, only 8.9% of OD patients presented severe dementia (68.2% in ours) and fewer signs of impaired safety of swallow (46.40% vs. 81.7% in ours).…”