Dysphagia in lateral medullary syndrome

IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Acta Facultatis Medicae Naissensis Pub Date : 2022-01-01 DOI:10.5937/afmnai39-33245
M. Vuković, Mirna Zelić
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Abstract

Introduction. The lateral medullary syndrome is a neurological disease caused by ischemia in the lateral part of the medulla oblongata and is the most common form of brainstem infarction. Dysphagia is a common and clinically significant symptom of this disease because it is closely associated with the risk of recurrent pneumonia, malnutrition, dehydration, and an increase in mortality and prolonged hospital treatment. Aim. This paper aims to review and analyze data on the correlation between swallowing disorders and lateral medullary syndrome. We intend to present the symptoms, diagnostic and therapeutic procedures of dysphagia in patients with this syndrome in a comprehensive way. Methodology. The following databases were used to search the literature: KoBSON-Consortium of Serbian Libraries for Unified Procurement, PubMed, Science Direct. Results. Based on the results of the reviewed studies, it was determined that patients with the lateral medullary syndrome often have swallowing disorders. They are often fed through a nasogastric tube a few months after the stroke, which significantly impairs their quality of life. To overcome swallowing disorders and create conditions for safe swallowing function, most patients need treatment for a longer period. In addition to the available screening tests, instrumental diagnostic methods provide insight into the biomechanical aspects of swallowing disorders, determine the risk of aspiration, and provide a starting point for selecting treatment strategies. Conclusion. Treatment of dysphagia depends on the mechanisms of occurrence and the predictors of recovery of swallowing function. When conducting treatment, among other things, it is very important to know the pathological mechanisms of neural connections of the medulla oblongata.
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外侧髓系吞咽困难综合征
介绍。外侧延髓综合征是一种由延髓外侧缺血引起的神经系统疾病,是脑干梗死最常见的形式。吞咽困难是本病的常见和临床显著症状,因为它与复发性肺炎、营养不良、脱水、死亡率增加和住院治疗时间延长的风险密切相关。的目标。本文旨在回顾和分析吞咽障碍与侧髓质综合征之间的关系。我们打算以一种全面的方式呈现吞咽困难患者的症状、诊断和治疗方法。方法。使用以下数据库检索文献:kobson -塞尔维亚图书馆统一采购联盟、PubMed、Science Direct。结果。根据回顾的研究结果,确定患有外侧髓质综合征的患者通常有吞咽障碍。他们通常在中风后几个月通过鼻胃管进食,这大大降低了他们的生活质量。为了克服吞咽障碍,为安全的吞咽功能创造条件,大多数患者需要较长时间的治疗。除了可用的筛选测试,仪器诊断方法提供洞察吞咽障碍的生物力学方面,确定误吸的风险,并为选择治疗策略提供起点。结论。吞咽困难的治疗取决于发生的机制和吞咽功能恢复的预测因素。在进行治疗时,除其他事项外,了解延髓神经连接的病理机制非常重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Acta Facultatis Medicae Naissensis
Acta Facultatis Medicae Naissensis MEDICINE, GENERAL & INTERNAL-
CiteScore
0.70
自引率
0.00%
发文量
13
审稿时长
12 weeks
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