ASYMPTOMATIC SWALLOWING DISORDERS IN ELDERLY PATIENTS WITH PARKINSONS-DISEASE - A DESCRIPTION OF FINDINGS ON CLINICAL EXAMINATION AND VIDEOFLUOROSCOPY IN 16 PATIENTS
ASYMPTOMATIC SWALLOWING DISORDERS IN ELDERLY PATIENTS WITH PARKINSONS-DISEASE - A DESCRIPTION OF FINDINGS ON CLINICAL EXAMINATION AND VIDEOFLUOROSCOPY IN 16 PATIENTS
复制标题
DOI：
10.1093/ageing/23.3.251
复制
发表时间：
1994-05-01
期刊：
影响因子：
6.7
通讯作者：
FONDA, D
中科院分区：
文献类型：
--
作者：
BIRD, MR;WOODWARD, MC;FONDA, D
我们试图确定没有吞咽困难症状的帕金森氏病患者是否有吞咽异常，并描述临床检查和视频透视上看到的特征。对稳定的帕金森病患者进行吞咽困难症状的访谈，并招募了16名无症状患者。在常规药物治疗的同时，对面部、舌头和腭咽肌肉组织进行检查，并进行改良的钡剂吞咽。所有患者在吞咽的视频荧光镜检查中至少有一处异常。3名患者出现误吸，14名患者有被认为存在误吸风险的谷残留证据。口咽通过时间总是延长，是在吞咽开始延迟。大多数患者还表现出舌头抬高次数和吞咽次数增加，以清除咽部的食团。尽管没有吞咽困难的症状，但患者表现出广泛的吞咽异常。
We sought to ascertain whether patients with Parkinson's disease without symptoms of dysphagia have abnormalities of swallowing, and to describe the characteristics as seen on clinical examination and videofluoroscopy. Patients with stable Parkinson's disease were interviewed for symptoms of dysphagia and 16 asymptomatic patients were enrolled. Whilst on their usual medication, an examination of facial, tongue and palatopharyngeal musculature was made, and a modified barium swallow performed.All patients had at least one abnormality on videofluoroscopic examination of their swallowing. Three patients showed aspiration and 14 had evidence of vallecular residue considered a risk for aspiration. Oropharyngeal transit time was invariably prolonged as was delay in the initiation of swallow. The majority of patients also demonstrated an increased number of tongue elevations and number of swallows to clear their pharynx of the bolus. Despite having no symptoms of dysphagia, the patients demonstrated widespread abnormalities of swallowing.