Orignal Article

Advances in Dysphagia after Medullary Infarction (review)

  • WANG Nan ,
  • ZHANG Li-xin
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  • Department of Rehabilitation Centre, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110001, China

Received date: 2018-02-12

  Revised date: 2018-04-09

  Online published: 2018-08-01

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.

Cite this article

WANG Nan , ZHANG Li-xin . Advances in Dysphagia after Medullary Infarction (review)[J]. Chinese Journal of Rehabilitation Theory and Practice, 2018 , 24(7) : 807 -811 . DOI: 10.3969/j.issn.1006-9771.2018.07.009

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