Clinically probable brainstem stroke presenting primarily as dysphagia and nonvisualized by MRI

Research output: Contribution to journalArticle

Abstract

Ten patients with clinically probable brain-stem stroke presenting primarily as acute dysphagia but without visible brainstem abnormality by MRI are described. The patients were evaluated with neurologic examinations, cinepharyngoesophagography, and brain MRI studies. Each patient solely or predominately experienced sudden pharyngeal dysphagia, and additional symptoms or signs other than dysphonia or dysarthria were scarce. Small vessel disease or cardiac embolism were the apparent causes of what appear to have been very discrete brainstem strokes in these patients. Acute pharyngeal dysphagia can be the sole or primary manifestation of brainstem stroke. A negative MRI study should not preclude consideration of this diagnosis, if brainstem stroke is otherwise clinically probable.

Original languageEnglish (US)
Pages (from-to)235-238
Number of pages4
JournalDysphagia
Volume8
Issue number3
DOIs
StatePublished - Jun 1993

Fingerprint

Brain Stem Infarctions
Deglutition Disorders
Brain Stem
Dysphonia
Dysarthria
Neurologic Examination
Embolism
Signs and Symptoms
Heart Diseases
Stroke
Brain

Keywords

  • Brainstem stroke/infarction
  • Deglutition
  • Deglutition disorders
  • Dysphagia
  • Magnetic resonance imaging
  • Swallowing

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Gastroenterology
  • Speech and Hearing

Cite this

Clinically probable brainstem stroke presenting primarily as dysphagia and nonvisualized by MRI. / Buchholz, David.

In: Dysphagia, Vol. 8, No. 3, 06.1993, p. 235-238.

Research output: Contribution to journalArticle

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