Diagnosis With Manometry and Treatment With Repetitive Transcranial Magnetic Stimulation in Dysphagia

Videofluoroscopic swallowing study (VFSS) used for the diagnosis of dysphagia has limitations in objectively assessing the contractility of the pharyngeal muscle or the degree of the upper esophageal sphincter relaxation. With a manometer, however, it is possible to objectively assess the pressure c...

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Main Authors: Rhee, Won Ihl, Won, Sun Jae, Ko, Sae Byuk
Format: Online
Language:English
Published: Korean Academy of Rehabilitation Medicine 2013
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3895534/
id pubmed-3895534
recordtype oai_dc
spelling pubmed-38955342014-01-24 Diagnosis With Manometry and Treatment With Repetitive Transcranial Magnetic Stimulation in Dysphagia Rhee, Won Ihl Won, Sun Jae Ko, Sae Byuk Case Report Videofluoroscopic swallowing study (VFSS) used for the diagnosis of dysphagia has limitations in objectively assessing the contractility of the pharyngeal muscle or the degree of the upper esophageal sphincter relaxation. With a manometer, however, it is possible to objectively assess the pressure changes in the pharynx caused by pharyngeal muscle contraction during swallowing or upper esophageal sphincter relaxation, hence remedying the limitations of VFSS. The following case report describes a patient diagnosed with lateral medullar infarction presenting a 52-year-old male who had dysphagia. We suggested that the manometer could be used to assess the specific site of dysfunction in patients with dysphagia complementing the limitations of VFSS. We also found that repetitive transcranial magnetic stimulation was effective in treating patients refractory to traditional dysphagia rehabilitation. Korean Academy of Rehabilitation Medicine 2013-12 2013-12-23 /pmc/articles/PMC3895534/ /pubmed/24466529 http://dx.doi.org/10.5535/arm.2013.37.6.907 Text en Copyright © 2013 by Korean Academy of Rehabilitation Medicine http://creativecommons.org/licenses/by-nc/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author Rhee, Won Ihl
Won, Sun Jae
Ko, Sae Byuk
spellingShingle Rhee, Won Ihl
Won, Sun Jae
Ko, Sae Byuk
Diagnosis With Manometry and Treatment With Repetitive Transcranial Magnetic Stimulation in Dysphagia
author_facet Rhee, Won Ihl
Won, Sun Jae
Ko, Sae Byuk
author_sort Rhee, Won Ihl
title Diagnosis With Manometry and Treatment With Repetitive Transcranial Magnetic Stimulation in Dysphagia
title_short Diagnosis With Manometry and Treatment With Repetitive Transcranial Magnetic Stimulation in Dysphagia
title_full Diagnosis With Manometry and Treatment With Repetitive Transcranial Magnetic Stimulation in Dysphagia
title_fullStr Diagnosis With Manometry and Treatment With Repetitive Transcranial Magnetic Stimulation in Dysphagia
title_full_unstemmed Diagnosis With Manometry and Treatment With Repetitive Transcranial Magnetic Stimulation in Dysphagia
title_sort diagnosis with manometry and treatment with repetitive transcranial magnetic stimulation in dysphagia
description Videofluoroscopic swallowing study (VFSS) used for the diagnosis of dysphagia has limitations in objectively assessing the contractility of the pharyngeal muscle or the degree of the upper esophageal sphincter relaxation. With a manometer, however, it is possible to objectively assess the pressure changes in the pharynx caused by pharyngeal muscle contraction during swallowing or upper esophageal sphincter relaxation, hence remedying the limitations of VFSS. The following case report describes a patient diagnosed with lateral medullar infarction presenting a 52-year-old male who had dysphagia. We suggested that the manometer could be used to assess the specific site of dysfunction in patients with dysphagia complementing the limitations of VFSS. We also found that repetitive transcranial magnetic stimulation was effective in treating patients refractory to traditional dysphagia rehabilitation.
publisher Korean Academy of Rehabilitation Medicine
publishDate 2013
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3895534/
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