《Chinese Journal of Rehabilitation Theory and Practice》 ›› 2018, Vol. 24 ›› Issue (7): 807-811.doi: 10.3969/j.issn.1006-9771.2018.07.009

• Orignal Article • Previous Articles     Next Articles

Advances in Dysphagia after Medullary Infarction (review)

WANG Nan, ZHANG Li-xin   

  1. Department of Rehabilitation Centre, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110001, China
  • Received:2018-02-12 Revised:2018-04-09 Published:2018-07-25 Online:2018-08-01
  • Contact: ZHANG Li-xin. E-mail: zhanglx@sj-hospital.org

Abstract: Dysphagia is most common after medullary infarction, characterized by aspiration, residual pharynx and poor esophageal sphincter opening. The existence and severity of dysphagia can be preliminarily determined according to the site of infarction, and it is more likely to cause dysphagia on rostral, dorsal and lateral part of the medulla oblongata. High resolution manometry can be used to understand the biomechanical characteristics of the pharynx and upper segment of esophagus, and helps to evaluate dysphagia, especially combined with videofluoroscopic swallowing study, to guide the rehabilitation. Compensatory posture, electrical stimulation, transcranial magnetic stimulation and balloon dilatation are effective for the treatment.

Key words: cerebral infarction, medulla oblongata, dysphagia, rehabilitation, assessment, review

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