Incoordination during the pharyngeal phase in severe dysphagia due to lateral medullary syndrome

Kenjiro Kunieda; Takafumi Sugi; Tomohisa Ohno; Akiko Nomoto; Takashi Shigematsu; Hideaki Kanazawa; Ichiro Fujishima

doi:10.1002/ccr3.3890

Incoordination during the pharyngeal phase in severe dysphagia due to lateral medullary syndrome

Clin Case Rep. 2021 Feb 9;9(3):1728-1731. doi: 10.1002/ccr3.3890. eCollection 2021 Mar.

Authors

Kenjiro Kunieda^{1

2}, Takafumi Sugi², Tomohisa Ohno³, Akiko Nomoto³, Takashi Shigematsu², Hideaki Kanazawa², Ichiro Fujishima²

Affiliations

¹ Department of Neurology Gifu University Graduate School of Medicine Gifu Japan.
² Department of Rehabilitation Medicine Hamamatsu City Rehabilitation Hospital Hamamatsu Japan.
³ Department of Dentistry Hamamatsu City Rehabilitation Hospital Hamamatsu Japan.

Abstract

One of the mechanisms of severe dysphagia due to lateral medullary syndrome may be a reversed pressure gradient caused by incoordination of pharyngeal contractility and UES opening during swallowing.

Keywords: central pattern generator; high‐resolution manometry; incoordination; lateral medullary syndrome; upper esophageal sphincter.

Publication types

Case Reports