지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2024.1
- 수록면
- 54 - 58 (5page)
- DOI
- 10.34160/jkds.23.009
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초록· 키워드
오류제보하기
This study reports serial swallowing functional changes in a patient with an acute ischemic stroke but normal diffusion weighted imaging (DWI) scans. A 71-year-old man presented with dysphagia. Laryngoscopy revealed left arytenoid swelling and hypomobility of the left vocal cord. Acute lesions were not observed on brain magnetic resonance imaging. On the 9th day following hospital admission, the first videofluoroscopic swallowing study (VFSS) was performed. When he swallowed semi-solid food, significant pre- and post-swallowing aspirations were detected without coughing. An acute stroke with sudden-onset dysphagia was considered as the possible cause of dysphagia. The serial VFSSs showed gradual improvement in the swallowing reflex and persistent moderate cricopharyngeal dysfunction. During the VFSS anteroposterior view, bolus swallowing was tolerated, and aspiration signs disappeared, as the head was turned to the left and tilted to the right, indicating the role of a lateralizing lesion in symptom onset. This case study reports the course of natural resolution of dysphagia in a patient with a DWI-negative stroke based on serial VFSS results. There is a need to establish the significance of intensive dysphagia rehabilitation, including neuromuscular electrical stimulation therapy, in patients clinically diagnosed with an acute stroke. Therefore, further studies involving a larger population of patients with DWI-negative strokes and dysphagia are warranted.
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논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
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