Videofluoroscopic Examination as An Objective Evaluation Tool in Multiple Sclerosis Individuals with Dysphagia --- casereport

Authors

Mei-Li Cheng
Tyng-Guey Wang
Yeun-Chung Chang
Chi-Fen Chang
Jin-Shin Lai
I-Nan Lien

Translated Title

以電視螢光攝影檢查評估多發性硬化症患者之吞嚥障礙－病例報告

Abstract

Multiple sclerosis (MS) may involve different part of central nervous system and is characterized by remission and relapse clinically. However, dysphagia does not happen regularly. The incidence of dysphagia in MS is still in debate. It ranges from 3% to to 33% in limited reports. It could be a persistent or a intermittent symptom with various severity. In previous literature, the evaluation of this disorder was limited in clinical examination and lack of an objective method. We presented a 62-year-old man with MS and dysphagia. He underwent videofluoroscopic examination (VFE) and intensive swallowing training. The VFE demonstrated that the major disorder of swallowing disorder in this case occurred in pharyngeal stage and manifested by silent aspirationcombined with aspiration pneumonia. Intensive rehabilitation program does improve his ability of swallowing but the patient still needs nasogastric tube to meet his nutrition need. We conclude that VFE is an objective and helpful technique in evaluating and managing swallowing disorder of MS patients. It should be performed in every MS patients with dysphagia.

Language

Traditional Chinese

First Page

91

Last Page

96

Recommended Citation

Cheng, Mei-Li; Wang, Tyng-Guey; Chang, Yeun-Chung; Chang, Chi-Fen; Lai, Jin-Shin; and Lien, I-Nan (1997) "Videofluoroscopic Examination as An Objective Evaluation Tool in Multiple Sclerosis Individuals with Dysphagia --- casereport," Rehabilitation Practice and Science: Vol. 25: Iss. 1, Article 11.
DOI: https://doi.org/10.6315/3005-3846.2025
Available at: https://rps.researchcommons.org/journal/vol25/iss1/11