Voluntary Swallowing Initiation Difficulty After Dorsomedial Prefrontal Cortex Damage: A Case Report.

IF 1.3 4区 医学 Q4 BEHAVIORAL SCIENCES Cognitive and Behavioral Neurology Pub Date : 2024-12-13 DOI:10.1097/WNN.0000000000000383
Nanae Motojima, Michitaka Funayama, Asuka Nakajima, Tomoyuki Nakamura, Mikoto Baba, Shusuke Kobayashi
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Abstract

The dorsomedial prefrontal cortex plays a critical role in movement initiation, and damage to this area can impair this function. Here we present the case of an individual who had difficulty with voluntary initiation of liquid swallowing after surgical removal of a glioblastoma from the right dorsomedial prefrontal cortex. This individual had no difficulty swallowing solids, perhaps because of the additional external movement triggers (eg, chewing) involved. Liquid swallowing involves fewer movement triggers and requires a quicker application of force during the oral propulsive phase when liquids are transferred from the oral cavity to the oropharynx. This individual did not have buccofacial apraxia or apraxia of speech, which are often associated with swallowing apraxia linked to damage in the precentral, premotor, and inferior frontal gyri. To our knowledge, few studies have focused on movement initiation impairments affecting the upper extremities and speech, and cases involving swallowing are notably rare.

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后内侧前额叶皮层损伤后自主吞咽启动困难1例报告。
背内侧前额叶皮层在运动启动中起着至关重要的作用,该区域的损伤会损害这一功能。在这里,我们提出的情况下,个人谁有困难的自愿开始吞咽液体手术后,从右背内侧前额叶皮层胶质母细胞瘤切除。这个人吞咽固体没有困难,可能是因为额外的外部运动触发(例如,咀嚼)。液体吞咽涉及较少的运动触发因素,并且在口腔推进阶段,当液体从口腔转移到口咽部时,需要更快地施加力。该患者没有面部失用症或言语失用症,这两种失用症通常与吞咽失用症有关,并与中央前、运动前和额下回损伤有关。据我们所知,很少有研究关注影响上肢和语言的运动启动障碍,涉及吞咽的病例非常罕见。
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来源期刊
CiteScore
2.40
自引率
7.10%
发文量
68
审稿时长
>12 weeks
期刊介绍: Cognitive and Behavioral Neurology (CBN) is a forum for advances in the neurologic understanding and possible treatment of human disorders that affect thinking, learning, memory, communication, and behavior. As an incubator for innovations in these fields, CBN helps transform theory into practice. The journal serves clinical research, patient care, education, and professional advancement. The journal welcomes contributions from neurology, cognitive neuroscience, neuropsychology, neuropsychiatry, and other relevant fields. The editors particularly encourage review articles (including reviews of clinical practice), experimental and observational case reports, instructional articles for interested students and professionals in other fields, and innovative articles that do not fit neatly into any category. Also welcome are therapeutic trials and other experimental and observational studies, brief reports, first-person accounts of neurologic experiences, position papers, hypotheses, opinion papers, commentaries, historical perspectives, and book reviews.
期刊最新文献
Postencephalitic Proper- and Common-name Anomia, Alexia With Agraphia, and Mild Semantic Deficit due to Left Anterior Temporal Lobe Lesion. How We Age: The Science of Longevity. Late-onset CSF1R-related Disorder: A Case Report. Voluntary Swallowing Initiation Difficulty After Dorsomedial Prefrontal Cortex Damage: A Case Report. The Turkish Version of the Revised Nottingham Sensory Assessment: Validity and Reliability in Chronic Stroke Survivors.
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