| Revista: | Revista médica del Hospital General de México |
| Base de datos: | |
| Número de sistema: | 000602822 |
| ISSN: | 0185-1063 |
| Autores: | Calil Romero, Vanessa C1 Tejeda Franco, Carolina D2 Solís Sánchez, Itzel2 Segura Hernández, Mónica1 Bueno Hernández, Nallely3 Gómez Coello, Annel2 |
| Instituciones: | 1Hospital General de México, Departamento de Audiología y Foniatría, Ciudad de México. México 2Instituto Nacional de Rehabilitación Luis Guillermo Ibarra Ibarra, Departamento de Foniatría, Ciudad de México. México 3Hospital General de México, Departamento de Investigación, Ciudad de México. México |
| Año: | 2022 |
| Periodo: | Oct-Dic |
| Volumen: | 85 |
| Número: | 4 |
| Paginación: | 190-196 |
| País: | México |
| Idioma: | Inglés |
| Tipo de documento: | Artículo |
| Resumen en inglés | Swallowing disorders are common clinical data in patients with Wallenberg syndrome, although with a broad clinical spectrum previously described. The objective of the study was to describe the characteristics of the spectrum of oropharyngeal dysphagia presentation in patients with Wallenberg syndrome. We performed a single-center, retrospective study in January 2016 and November 2020 with a series of cases and literature search. Data were collected from eight patients with ischemic spinal injury treated in the Phoniatrics Department of the General Hospital of Mexico. Eight cases were included, aged 28 and 74 years. In the first Fiber-optic Endoscopic Evaluation of Swallowing (FEES), the diagnosis was severe oropharyngeal dysphagia in 7 of the 8 patients (87.5%), compared to the second evaluation where mild oropharyngeal dysphagia was present in four patients, and severe oropharyngeal dysphagia on the other half. Oropharyngeal dysphagia can be found in 51-94% of patients with Wallenberg syndrome. In the first evaluation, difficulty with bolus propulsion of the oral phase in FEES was present in 62.5% of the patients. Still, in the second evaluation, the oral stage was reported with no alterations. Thus, patients could persist with severe dysphagia even passing the month of diagnosis. Wallenberg syndrome is a well-known condition that presents in a very variable way. Dysphagia could be severe, even passing the month after establishing the disease. The evaluation of dysphagia will allow their early rehabilitation and reduce the risk of complications. |
| Disciplinas: | Medicina, Medicina |
| Palabras clave: | Neurología, Gastroenterología |
| Keyword: | Neurology, Gastroenterology |
| Texto completo: | Texto completo (Ver PDF) Texto completo (Ver HTML) |
