Videofluoroscopic assessment of swallowing function in patients with myasthenia gravis

Higo, Ryuzaburo; Nito, Takaharu; Tayama, Niro

doi:10.1016/j.jns.2004.12.007

Cited by 29 publications

(22 citation statements)

References 19 publications

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“…Although some studies have investigated the prevalence of dysphagia and dysarthria among patients with NMD, these studies focused only on specific diseases such as myotonic dystrophy, myas thenia gravis, amyotrophic lateral sclerosis (ALS) and inclusion body myositis [6][7][8][9][10][11][12][13], all of which are well-documented for causing dysarthria and/or dysphagia. However, little information is available regarding the prevalence rates of dysarthria and dysphagia in a wider range of NMD disorders.…”

Section: Introductionmentioning

confidence: 99%

Dysarthria and dysphagia are highly prevalent among various types of neuromuscular diseases

Knuijt

Kalf

Swart

et al. 2013

Disability and Rehabilitation

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The prevalence rates of dysarthria and dysphagia among patients with various types of NMD are high. Physicians should therefore be aware of this prevalence and consider referring NMD patients to a speech-language pathologist. IMPLICATONS OF REHABILITATION: Both dysarthria and dysphagia are highly prevalent among patients with neuromuscular diseases; moreover, although often mild, these disorders can occur relatively early in the course of the disease. Clinicians should routinely check for signs and symptoms related to dysarthria and/or dysphagia in patients who present with a neuromuscular disease, preferably using standardised instruments.

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Section: Introductionmentioning

confidence: 99%

Dysarthria and dysphagia are highly prevalent among various types of neuromuscular diseases

Knuijt

Kalf

Swart

et al. 2013

Disability and Rehabilitation

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“…16 The observation items in the VFSS were set as follows: posterior propulsion of the tongue, piecemeal deglutition (fragmentation of the bolus over the dorsum of the tongue with the need of Ն3 swallows to clear the oral cavity), postswallow residue in vallecula and pyriform sinuses or both, penetration above the vocal folds, aspiration, UES opening, and postswallow residue above UES. The water was mixed with a water soluble contrast medium (Xenetix 300 mg, Guerbet, Belgium) and the pureed potato was mixed with barium powder (EZHD Barium Sulfate 98%, Guerbet, Belgium).…”

mentioning

confidence: 99%

Dysphagia in spinal muscular atrophy type II

Engel-Hoek¹,

Erasmus²,

Bruggen³

et al. 2009

Neurology

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Dysphagia in spinal muscular atrophy type II is due to a neurologic dysfunction (lower motor neuron problems from the cranial nerves in the brainstem) influencing the muscle force and efficiency of movement of the tongue and the submental muscle group in combination with a biomechanical component (compensatory head posture). The results suggest an integrated treatment with an adapted posture during meals and the advice of drinking water after meals to prevent aspiration pneumonias.

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“…The combination of poor respiratory effort and an ineffective swallow with the absence of protective mechanisms can lead to aspiration and, potentially, pulmonary infection. Indeed, Higo et al ( 2005 ) studied the swallowing function of 11 patients diagnosed with MG via video fl uoroscopy. Aspiration was seen in 34.8%, with half of these cases involving silent aspiration.…”

Section: Laryngeal Muscle Response To Myasthenia Gravismentioning

confidence: 99%