Dysphagia in stroke patients

被引：200

作者：

Singh, S. ^{[1
]}

Hamdy, S. ^{[1
]}

机构：

[1] Hope Hosp, Dept GI Sci, Salford M6 8HD, Lancs, England

来源：

POSTGRADUATE MEDICAL JOURNAL | 2006年 / 82卷 / 968期

关键词：

D O I：

10.1136/pgmj.2005.043281

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Swallowing musculature is asymmetrically represented in both motor cortices. Stroke affecting the hemisphere with the dominant swallowing projection results in dysphagia and clinical recovery has been correlated with compensatory changes in the previously non-dominant, unaffected hemisphere. This asymmetric bilaterality may explain why up to half of stroke patients are dysphagic and why many will regain a safe swallow over a comparatively short period. Despite this propensity for recovery, dysphagia carries a sevenfold increased risk of aspiration pneumonia and is an independent predictor of mortality. The identification, clinical course, pathophysiology, and treatment of dysphagia after stroke are discussed in this review.

引用

页码：383 / 391

页数：9

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