Skip to main content
SpringerLink
Log in

Clinical Conundrum: Severe Oropharyngeal Dysphagia

  • Clinical Conundrum
  • Published:
Dysphagia Aims and scope Submit manuscript

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

References

  1. Boden K, Hallgren A, Will HH. Effects of three different swallow maneuvers analyzed by videomanometry. Acta Radiol. 2006;47:628–33.

    Article  CAS  Google Scholar 

  2. Shaker R, Easterling C, Kern M, Nitschke T, Massey B, Daniels S, Grande B, Kazandjian M, Dikeman K. Rehabilitation of swallowing by exercise in tube-fed patients with pharyngeal dysphagia secondary to abnormal UES opening. Gastroenterology. 2002;122:1314–21.

    Article  Google Scholar 

  3. Mepani R, Antonik S, Massey B, Kern M, Logemann J, Pauloski B, Rademaker A, Easterling C, Shaker R. Augmentation of deglutitive thyrohyoid muscle shortening by the Shaker Exercise. Dysphagia. 2009;24:26–31.

    Article  Google Scholar 

  4. Wallenberg A. Anatomischer Befund in einem als Akute Bulbäraffektion (Embolie der Art. cerebelli post inf sinister?) beschriebenen Fälle. Arch Psychiat Nervenkr. 1901;34:923–59.

    Article  Google Scholar 

  5. Day GS, Swartz RH, Chenkin J, Shamji AI, Frost DW. An approach to the diagnosis of lateral medullary syndrome illustrated through case presentation and literature review. CJEM. 2014;16:164–70.

    Article  Google Scholar 

  6. Marcet A. History of a singular nervous or paralytic affection attended with anomalous morbid sensations. Medico-Chir Trans. 1811;2:215–33.

    Google Scholar 

  7. Doty RW, Richmond WH, Storey AT. Effect of medullary lesions on coordination of deglutition. Exp Neurol. 1967;17:91–106.

    Article  CAS  Google Scholar 

  8. Kim H, Lee HJ, Park JW. Clinical course and outcome in patients with severe dysphagia after lateral medullary syndrome. Ther Adv Neurol Disord. 2018;11:1756286418759864.

    Article  Google Scholar 

Download references

Author information

Author notes

  1. Sonika Randev, Lara Goldstein and Kara Morgenstern have contributed equally to this work.

Authors and Affiliations

  1. Department of Physical Medicine and Rehabilitation, Metropolitan Hospital, 1901 First Avenue, New York, NY, 10029, USA

    Sonika Randev, Lara Goldstein, Kara Morgenstern, Anusha Lekshminarayanan & Eric L. Altschuler

Authors
  1. Sonika Randev
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Lara Goldstein
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Kara Morgenstern
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Anusha Lekshminarayanan
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Eric L. Altschuler
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Eric L. Altschuler.

Ethics declarations

Conflict of interest

The authors declare that they have no financial or other conflicts.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Video 1. MBS #1 shows severe oropharyngeal dysphagia with regurgitation of pureed bolus, penetration of all liquid consistencies. (MP4 10258 kb)

Video 2. MBS # 2 shows moderate to severe oropharyngeal dysphagia with continued regurgitation of all consistencies and aspiration of thin liquids. (MP4 9033 kb)

Video 3. MBS # 3 shows moderate oropharyngeal dysphagia with mild penetration of all liquids. Toleration of puree consistencies without presence of regurgitation, aspiration, or penetration. (MP4 10396 kb)

Video 4. MBS # 4 shows mild oropharyngeal dysphagia with slight penetration of thin liquids and mild oral dysphagia requiring cleansing swallows to clear residue in oral cavity. No regurgitations noted along with no aspiration across consistencies. (MP4 6358 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Randev, S., Goldstein, L., Morgenstern, K. et al. Clinical Conundrum: Severe Oropharyngeal Dysphagia. Dysphagia 35, 733–734 (2020). https://doi.org/10.1007/s00455-020-10101-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00455-020-10101-6

Search

Navigation