Pharyngeal electrical stimulation for neurogenic dysphagia of different aetiologies.

Domenico A Restivo

doi:10.1016/j.eclinm.2020.100626

Abstract

Neurogenic dysphagia can occur in patients with neurological disorders of different etiologies, and is associated with poor long-term outcome, high mortality, morbidity, and high social costs because of the increase of the risk of aspiration pneumonia, other than dehydration, malnutrition [1]. There is no definitive treatment for neurogenic dysphagia. Bath et al. conducted a prospective single-arm, multicenter observational cohort study, treating with PES 245 patients with neurogenic dysphagia [2].

Highlights

Neurogenic dysphagia can occur in patients with neurological disorders of different etiologies, and is associated with poor long-term outcome, high mortality, morbidity, and high social costs because of the increase of the risk of aspiration pneumonia, other than dehydration, malnutrition [1]
Participants were divided into five groups: 1) stroke not requiring mechanical ventilation; 2) stroke requiring mechanical ventilation and tracheotomy; 3) mechanical ventilation in non-stroke, non-traumatic brain injury (TBI); 4) TBI with or without needing of mechanical ventilation and tracheotomy; and 5) any other neurological cause without the need for mechanical ventilation and tracheotomy
The results showed that, interestingly DSRS improved in patients with both supratentorial and infratentorial stroke without significant differences between the two pathological conditions

Summary

Introduction

Neurogenic dysphagia can occur in patients with neurological disorders of different etiologies, and is associated with poor long-term outcome, high mortality, morbidity, and high social costs because of the increase of the risk of aspiration pneumonia, other than dehydration, malnutrition [1]. Pharyngeal electrical stimulation for neurogenic dysphagia of different aetiologies Domenico A. The results showed that, interestingly DSRS improved in patients with both supratentorial and infratentorial stroke without significant differences between the two pathological conditions.

Results

Conclusion