4.6 Article

Dysphagia following cerebellar stroke: analyzing the contribution of the cerebellum to swallowing function

Journal

FRONTIERS IN NEUROLOGY
Volume 14, Issue -, Pages -

Publisher

FRONTIERS MEDIA SA
DOI: 10.3389/fneur.2023.1276243

Keywords

cerebellum; cerebellar stroke; cerebellar infarct; dysphagia; swallowing disorders; deglutition disorders; swallowing; swallowing function

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This study analyzed the effects of cerebellar strokes on the oral and pharyngeal phases of swallowing and found that 52.9% of patients experienced dysphagia. Dysphagia was significantly associated with a higher risk of aspiration. Age was also significantly correlated with dysphagia, while there was no significant correlation between swallowing ability and sex.
Swallowing is essential for human health, and the cerebellum is crucial for motor movement regulation. Cerebellar strokes may cause dysphagia, but their exact effects remain unexplored in swallowing function. Therefore, the aim of this study was to analyze the precise clinical characteristics of the oral and pharyngeal phases of swallowing after cerebellar stroke and to critically discuss the cerebellum's contribution to swallowing. The study involved 34 participants with cerebellar strokes, gathered through convenience sampling. Neurologists diagnosed isolated strokes, and a speech and language pathologist examined swallowing ability using the Mann Assessment of Swallowing Ability. The study found that 52.9% of people experienced dysphagia after a cerebellar stroke. Dysphagia was significantly associated with a higher risk of aspiration. Age was also significantly correlated with dysphagia. No significant correlation was found between swallowing ability and sex. In conclusion, this study suggests isolated cerebellar stroke can adversely affect the motor and non-motor aspects of swallowing and cause severe dysphagia and aspiration risk. Thus, early diagnosis and timely management of dysphagia following a cerebellar stroke can help prevent serious consequences.

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