A narrative review on the role and main findings of the Videofluoroscopic Study of Swallowing in Parkison's disease.

Autor: Barbiera F; Azienda Sanitaria Provinciale Agrigento - UO Complessa Radiologia Distretto Ag 2 Sciacca Ribera, Presidio Ospedaliero Di Sciacca (AG), Via Pompei, 92019, Sciacca (AG), Italy. filippo.barbiera@gmail.com., Cosentino G; Department of Brain and Behavioral Sciences, University of Pavia, Via Mondino 2, 27100, Pavia, Italy.; Translational Neurophysiology Research Unit, IRCCS Mondino Foundation, Via Mondino, 2, 27100, Pavia, Italy., La Seta F; Azienda Ospedaliera Ospedali Riuniti Villa Sofia Cervello Palermo, UO Complessa Radiologia PO 'Vincenzo Cervello', Via Trabucco, 180, 90146, Palermo, Italy., Vetrano E; Azienda Sanitaria Provinciale Agrigento - UO Complessa Radiologia Distretto Ag 2 Sciacca Ribera, Presidio Ospedaliero Di Sciacca (AG), Via Pompei, 92019, Sciacca (AG), Italy.; Department of Biomedicine, Neuroscience and Advanced Diagnostic, University of Palermo, Institute of Radiology, 90127, Palermo, Italy., Murmura B; Azienda Sanitaria Provinciale Agrigento - UO Complessa Radiologia Distretto Ag 2 Sciacca Ribera, Presidio Ospedaliero Di Sciacca (AG), Via Pompei, 92019, Sciacca (AG), Italy., Avenali M; Department of Brain and Behavioral Sciences, University of Pavia, Via Mondino 2, 27100, Pavia, Italy.; Neurorehabilitation Unit, IRCCS Mondino Foundation, Via Mondino 2, 27100, Pavia, Italy., Alfonsi E; Translational Neurophysiology Research Unit, IRCCS Mondino Foundation, Via Mondino, 2, 27100, Pavia, Italy., Tassorelli C; Department of Brain and Behavioral Sciences, University of Pavia, Via Mondino 2, 27100, Pavia, Italy.; Neurorehabilitation Unit, IRCCS Mondino Foundation, Via Mondino 2, 27100, Pavia, Italy.
Jazyk: angličtina
Zdroj: La Radiologia medica [Radiol Med] 2023 Jan; Vol. 128 (1), pp. 27-34. Date of Electronic Publication: 2022 Dec 24.
DOI: 10.1007/s11547-022-01581-7
Abstrakt: Purpose: Dysphagia is a common symptom in patients with Parkinson's disease (PD), though it may go undiagnosed until severe complications arise. Dysphagia can be suspected on a clinical basis, but an instrumental assessment is mandatory to confirm its presence and evaluate pathophysiological aspects and severity of the swallowing impairment. Aim of this review is to inform the clinician and the radiologist on the importance and the main radiological findings of the Video-Fluoroscopic-Swallow-Study (VFSS) in patients with PD starting from the most recent literature data on the topic.
Materials and Methods: Databases analysis identified 98 papers (January 2000/October 2022) of which 55 were excluded after reading title, abstract and full-text. After evaluation of the selected articles and their references 7 additional papers were added.
Results: Fifty papers were reviewed to answer the following four main questions: Should VFSS be routinely used to screen dysphagia? Compared to other diagnostic tools, what is the role of VFSS in PD patients with suspected dysphagia? What are the main VFSS findings and technical expedients ? What is the role of VFSS in the choice of the best treatment strategy ?
Conclusions: VFSS represents a gold standard technique in the diagnostic evaluation of dysphagia in PD, having a fundamental role in the identification of patients with high risk of aspiration pneumonia and also being extremely helpful to guide to the choice of treatment strategies for dysphagia.
(© 2022. Italian Society of Medical Radiology.)
Databáze: MEDLINE
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