《Chinese Journal of Rehabilitation Theory and Practice》 ›› 2019, Vol. 25 ›› Issue (4): 477-480.doi: 10.3969/j.issn.1006-9771.2019.04.020

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CT-guided Botulinum Toxin Injection into Cricopharyngeus for Dysphagia after True Bulbar Palsy: a Case Report

WANG Li-chun1, HUANG Feng-hui1, MIAO Wei1, HU Fang-mei1, LIU Jie1, QI Feng2, JIA Li-juan1   

  1. 1.Department of Rehabilitation Medicine; b. Image Center, Cangzhou Hospital of Integrated TCM-WM Hebei, Cangzhou, Hebei 061000, China
    2.Department of Rehabilitation Medicine; b. Image Center, Cangzhou Hospital of Integrated TCM-WM Hebei, Cangzhou, Hebei 061000, China
  • Received:2018-11-01 Revised:2018-12-26 Published:2019-04-20 Online:2019-04-24
  • Contact: WANG Li-chun, E-mail: wanglichun1976@163.com

Abstract: Objective To explore the effect of CT-guided Botulinum toxin injection into cricopharynx muscle on dysphagia caused by true bulbar palsy. Methods A case of dysphagia caused by true bulbar palsy was treated with CT-guided Botulinum toxin injection and its therapeutic effect was reported. Results The patient had dysphagia after brainstem infarction and was diagnosed as true bulbar palsy. After routine rehabilitation of dysphagia and balloon dilatation, her dysphagia relieved, but reappeared three times. Botulinum toxin was injected into the loop pharynx muscle under the guidance of CT, the clinical effect was remarkable, and no recurrence of the disease appeared in the follow-up. Conclusion CT-guided Botulinum toxin injection into cricopharyngeus is effective on dysphagia caused by true medullary palsy, and the probability of recurrence is small.

Key words: true bulbar palsy, dysphagia, Botulinum toxin, cricopharyngeus

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