Compensatory swallowing methods in a patient with dysphagia due to lateral medullary syndrome-vacuum and prolonged swallowing A case report

Article Otorhinolaryngology

Relationship Between Tongue Pressure and Pharyngeal Function Assessed Using High-Resolution Manometry in Older Dysphagia Patients with Sarcopenia: A Pilot Study

Kenjiro Kunieda et al.

Summary: This study aimed to assess the relationship between tongue pressure and swallowing function, and found that dysphagia patients with sarcopenia have weaker pharyngeal contractility and UES dysfunction. However, there was no significant correlation between HRM parameters and tongue pressure as well as sarcopenia-related factors. Further research is needed to clinically apply tongue pressure in evaluating sarcopenic dysphagia.

DYSPHAGIA (2021)

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Review Otorhinolaryngology

Dysphagia in Lateral Medullary Syndrome: A Narrative Review

Sung Ho Jang et al.

Summary: Dysphagia is a common clinical feature of lateral medullary syndrome, which is closely related to aspiration pneumonia, malnutrition, increased mortality, and prolonged hospital stay. The pathophysiology of dysphagia in LMS is not fully understood, but studies suggest the involvement of medullary central pattern generators in coordinating swallowing. Most patients with dysphagia in LMS have a good prognosis, but specific factors associated with poor prognosis require further investigation. Various therapeutic modalities, both non-invasive and invasive, are applied for the management of dysphagia in LMS, and understanding the recovery mechanisms and prognosis is crucial for appropriate treatment.

DYSPHAGIA (2021)

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Article Medicine, General & Internal

Incoordination during the pharyngeal phase in severe dysphagia due to lateral medullary syndrome

Kenjiro Kunieda et al.

Summary: One possible mechanism of severe dysphagia in lateral medullary syndrome is a reversed pressure gradient caused by the lack of coordination between pharyngeal contractility and UES opening during swallowing.

CLINICAL CASE REPORTS (2021)

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Review Clinical Neurology