Radiological evidence of subclinical dysphagia in motor neuron disease.

摘要: Dysphagia in motor neuron disease (MND) may lead to dangerous complications such as cachexia and aspiration pneumonia. Functional evaluation of the oropharyngeal tract is crucial for identifying specific swallowing dysfunctions planning appropriate rehabilitation. As part a multidisciplinary study on treatment dysphagia patients with neuromuscular diseases, 23 MND different degrees underwent videoflouroscopy, videopharyngolaryngoscopy pharyngo-oesophageal manometry. The results three instrumental investigations were analysed order (1) define pattern complaining dysphagia; (2) evaluate whether subclinical abnormalities be detected; (3) assess role videofluoroscopy, manometry deglutition problems. Correlations between findings clinical features (age patients, duration severity disease, presence degree dysphagia) also assessed. our showed that: oral phase was compromised most often, followed by pharyngeal phase. In all without evidence dysphagia, videofluoroscopic alterations present similar that found dysphagic group. Videofluoroscopy sensitive technique swallowing. Impairment phase, abnormal motility incomplete relaxation upper oesophageal sphincter changes detecting dysphagia. capable preclinical non-dysphagic who later developed Practical guidelines use assessment management are proposed.