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Swallowing Apraxia Post Ischemic Stroke

A 55-year-old male patient with a known medical history of diabetes mellitus type 2 and treated lymphoma was first admitted with a sudden left-sided facial asymmetry and mouth deviation to the left side with no other neurological symptoms. A Computerized Tomography (CT) scan of the brain showed acut...

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Autores principales: Alfaris, Abdullah Mohammed, Alghamdi, Atheer Saeed, Almowalad, Enas Saad, Al Harbi, Awad Aweid, Alghamdi, Khaled Abdulraheem, Saeedi, Jameelah, Al Awaji, Nisreen Naser
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9737384/
https://www.ncbi.nlm.nih.gov/pubmed/36498400
http://dx.doi.org/10.3390/ijerph192316329
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author Alfaris, Abdullah Mohammed
Alghamdi, Atheer Saeed
Almowalad, Enas Saad
Al Harbi, Awad Aweid
Alghamdi, Khaled Abdulraheem
Saeedi, Jameelah
Al Awaji, Nisreen Naser
author_facet Alfaris, Abdullah Mohammed
Alghamdi, Atheer Saeed
Almowalad, Enas Saad
Al Harbi, Awad Aweid
Alghamdi, Khaled Abdulraheem
Saeedi, Jameelah
Al Awaji, Nisreen Naser
author_sort Alfaris, Abdullah Mohammed
collection PubMed
description A 55-year-old male patient with a known medical history of diabetes mellitus type 2 and treated lymphoma was first admitted with a sudden left-sided facial asymmetry and mouth deviation to the left side with no other neurological symptoms. A Computerized Tomography (CT) scan of the brain showed acute infarct and small left basal ganglia old lacunar infarction. He was discharged on a dual antiplatelet. One week later, the patient’s condition had worsened and, therefore, was admitted with an impression of ischemic stroke. A bedside swallowing assessment, VFSS, and FEES study were conducted to diagnose this case. The bedside assessment did not reveal any sensory or motor deficits in his oral cavity and the FEES examination was also unable to rule out pharyngeal dysphagia. However, a videofluoroscopic swallowing study (VFSS) revealed a significant dysfunction of oral preparation and oral phases and presented difficulty initiating the pharyngeal phase. Given these features, we believe that this swallowing difficulty is caused by swallowing apraxia. This case provides additional information and understanding on management from the swallowing side.
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spelling pubmed-97373842022-12-11 Swallowing Apraxia Post Ischemic Stroke Alfaris, Abdullah Mohammed Alghamdi, Atheer Saeed Almowalad, Enas Saad Al Harbi, Awad Aweid Alghamdi, Khaled Abdulraheem Saeedi, Jameelah Al Awaji, Nisreen Naser Int J Environ Res Public Health Case Report A 55-year-old male patient with a known medical history of diabetes mellitus type 2 and treated lymphoma was first admitted with a sudden left-sided facial asymmetry and mouth deviation to the left side with no other neurological symptoms. A Computerized Tomography (CT) scan of the brain showed acute infarct and small left basal ganglia old lacunar infarction. He was discharged on a dual antiplatelet. One week later, the patient’s condition had worsened and, therefore, was admitted with an impression of ischemic stroke. A bedside swallowing assessment, VFSS, and FEES study were conducted to diagnose this case. The bedside assessment did not reveal any sensory or motor deficits in his oral cavity and the FEES examination was also unable to rule out pharyngeal dysphagia. However, a videofluoroscopic swallowing study (VFSS) revealed a significant dysfunction of oral preparation and oral phases and presented difficulty initiating the pharyngeal phase. Given these features, we believe that this swallowing difficulty is caused by swallowing apraxia. This case provides additional information and understanding on management from the swallowing side. MDPI 2022-12-06 /pmc/articles/PMC9737384/ /pubmed/36498400 http://dx.doi.org/10.3390/ijerph192316329 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Alfaris, Abdullah Mohammed
Alghamdi, Atheer Saeed
Almowalad, Enas Saad
Al Harbi, Awad Aweid
Alghamdi, Khaled Abdulraheem
Saeedi, Jameelah
Al Awaji, Nisreen Naser
Swallowing Apraxia Post Ischemic Stroke
title Swallowing Apraxia Post Ischemic Stroke
title_full Swallowing Apraxia Post Ischemic Stroke
title_fullStr Swallowing Apraxia Post Ischemic Stroke
title_full_unstemmed Swallowing Apraxia Post Ischemic Stroke
title_short Swallowing Apraxia Post Ischemic Stroke
title_sort swallowing apraxia post ischemic stroke
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9737384/
https://www.ncbi.nlm.nih.gov/pubmed/36498400
http://dx.doi.org/10.3390/ijerph192316329
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