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Case Reports
. 2016 Feb 11:2016:bcr2015213817.
doi: 10.1136/bcr-2015-213817.

Dysphagia and aspiration as the only manifestations of a stroke

Rafael García Carretero  1 , Marta Romero Brugera  1 , Noelia Rebollo-Aparicio  1 , Javier Rodeles-Melero  1
Affiliations
Case Reports

Dysphagia and aspiration as the only manifestations of a stroke

Rafael García Carretero et al. BMJ Case Rep. .

Abstract

A 56-year-old patient was admitted to our hospital, presenting with dysphagia as the only symptom. He was very concerned about this difficulty in swallowing. Diseases of the upper digestive tract were suspected, but further investigations revealed a neurological disorder. He had suffered a brain stem stroke and, as a consequence, developed an aspiration pneumonia. What seemed a digestive disorder was indeed a brain stem stroke, therefore we had to deal with the diverse impacts of this condition.

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Figures

Figure 1
Figure 1
MRI scan showing right lateral brain stem infarction.
Figure 2
Figure 2
Diffusion-weighted MRI showing the acute right-sided dorsal lateral medullary infarction.
See this image and copyright information in PMC

References

    1. Horner J, Buoyer FG, Alberts MJ et al. . Dysphagia following brain-stem stroke: clinical correlates and outcome. Arch Neurol 1991;48:1170–3. 10.1001/archneur.1991.00530230078026 - DOI - PubMed
    1. Olszewski J. [Causes, diagnosis and treatment of neurogenic dysphagia as an interdisciplinary clinical problem]. Otolaryngol Pol 2005;60:491–500. - PubMed
    1. Meng NH, Wang TG, Lien IN. Dysphagia in patients with brainstem stroke: incidence and outcome. Am J Phys Med Rehabil 2000;79:170–5. 10.1097/00002060-200003000-00010 - DOI - PubMed
    1. Daniels SK. Neurological disorders affecting oral, pharyngeal swallowing. GI Motil online. Nature Publishing Group, 2006.
    1. Nacci A, Ursino F, La Vela R et al. . Fiberoptic endoscopic evaluation of swallowing (FEES): proposal for informed consent. Acta Otorhinolaryngol Ital 2008;28:206–11. - PMC - PubMed

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