Efficacy of botulinum toxin type-A and swallowing treatment for oropharyngeal dysphagia recovery in a patient with lateral medullary syndrome
| Autor: | Irene Battel, Katie Palmer, Francesca Meneghello, Federica Biddau, Isabella Koch, Francesco Piccione, Rosario Marchese Ragona, Carla Carollo, Antonio Merico |
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| Rok vydání: | 2017 |
| Předmět: |
Male
Ataxia Physical Therapy Sports Therapy and Rehabilitation Injections Intralesional Trismus Risk Assessment Severity of Illness Index 03 medical and health sciences 0302 clinical medicine stomatognathic system Swallowing medicine.artery otorhinolaryngologic diseases medicine Humans 030212 general & internal medicine Botulinum Toxins Type A Lateral Medullary Syndrome Lateral medullary syndrome business.industry Rehabilitation Recovery of Function Middle Aged medicine.disease Dysphagia Botulinum toxin Magnetic Resonance Imaging Posterior inferior cerebellar artery Treatment Outcome Anesthesia Fluoroscopy medicine.symptom business Deglutition Disorders 030217 neurology & neurosurgery Oropharyngeal dysphagia medicine.drug |
| Zdroj: | European journal of physical and rehabilitation medicine. 53(5) |
| ISSN: | 1973-9095 |
| Popis: | Background Wallenberg's syndrome (WS) is known as posterior inferior cerebellar artery syndrome. Dysphagia has been reported from 51% to 94% of the patients, ranging from mild to severe. Case report We reported a case of a patient (male; 52 years) with WS. MRI showed an intense hypodense area in the dorsolateral part of the ponto-medullary junction. The clinical signs were severe dysphagia, fed by PEG (FOIS 1; PAS 7), sialorrhea, trismus and ataxia. Clinical rehabilitation impact Dysphagia was treated by botulinum toxin type-A (BoNT-A), which was injected into the parotid and submandibular salivary glands, temporalis and masseter muscles, cricopharyngeal muscle associated with specific swallowing exercise and food trails. The 3-months follow-up showed significant saliva reduction and improvement of swallowing to from PEG feeding to consistent oral intake of food (FOIS 3, PAS 5). The treatment with BoNT-A combined with swallowing rehabilitation was fundamental in order to restore the swallowing functions. |
| Databáze: | OpenAIRE |
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