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Cerebrovascular Accident

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Neurologic and Neurodegenerative Diseases of the Larynx

Abstract

Strokes cause significant post-event morbidity on both swallow function and communication. The pathophysiology of dysphagia, dysarthria, aphasia, and apraxia of speech is reviewed with respect to the vessels and regions of the brain affected by strokes. This chapter also reviews the clinical and objective assessments of post-stroke patients including bedside swallow screening, clinical assessment of swallow, communication assessment, and objective swallow testing. Both invasive and surgical treatments for post-stroke deficits are reviewed. Noninvasive brain stimulation and pharyngeal electrical stimulation are reviewed as possible future treatments of post-stroke deficits.

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References

  1. Yang Q, Tong X, Schieb L, Vaughan A, Gillespie K, Wiltz J, et al. Vital signs: recent trends in stroke death rates—United States 200-1015. MMWR Morb Mortal Wkly Rep. 2017;66(35):933–9.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Benjamin EJ, Blaha MJ, Chiuve SE, Cushman M, Das SR, Munter P. Heart disease and stroke statistics— 2017 update: a report from the American Heart Association. Circulation. 2017;135(10):e146–603.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Lubart E, Leibovitz A, Baumoehl Y, Klein C, Gil I, Abramovitz I, et al. Progressing stroke with neurological deterioration in a group of Israeli elderly. Arch Gerontol Geriatr. 2005;41(1):95–100.

    Article  PubMed  Google Scholar 

  4. Martino R, Foley N, Bhogal S, Nicholas D, Speechley M, Teasell R. Dysphagia after stroke: incidence, diagnosis, and pulmonary complications. Stroke. 2005;36(12):2756–63.

    Article  PubMed  Google Scholar 

  5. Flowers HL, Silver FL, Fang J, Rochon E, Martino R. The incidence, co-occurrence, and predictors of dysphagia, dysarthria, and aphasia after first-ever acute ischemic stroke. J Commun Disord. 2013;46(3):238–48.

    Article  PubMed  Google Scholar 

  6. Barer DH. The natural history and functional consequences of dysphagia after hemispheric stroke. J Neurol Neurosurg Psycho. 1989;52(2):236–41.

    Article  CAS  Google Scholar 

  7. Smithard DG, Kenwick DS, Martin DF, O’Neill PA. Chest infection following acute stroke: does aspiration matter? (abstract 69). Age Ageing. 1993;22(Suppl 3):24.

    Article  Google Scholar 

  8. Smithard DG. Long-term outcome after stroke does dysphagia matter? Age Ageing. 2007;36(1):90–4.

    Article  CAS  PubMed  Google Scholar 

  9. Kumar S, Selim MH, Caplan LR. Medical complications after stroke. Lancet Neurol. 2010;9(1):105–18.

    Article  PubMed  Google Scholar 

  10. Rohweder G, Ellekjær H, Salvesen Ø, Naalsund E, Indredavik B. Functional outcome after common poststroke complications occurring in the first 90 days. Stroke. 2015;46(1):65–70.

    Article  PubMed  Google Scholar 

  11. Engelter ST, Gostynski M, Papa S, Frei M, Born C, Ajdacic-Gross V, et al. Epidemiology of aphasia attributable to first ischemic stroke: incidence, severity, fluency, etiology, and thrombolysis. Stroke. 2006;37(6):1379–84.

    Article  PubMed  Google Scholar 

  12. Hilari K. The impact of stroke: are people with aphasia different than those without? Disabil Rehabil. 2011;33(3):211–8.

    Article  PubMed  Google Scholar 

  13. Hilari K, Needle JJ, Harrison KL. What are the important factors in health related quality of life for people with aphasia? A systematic review. Arch Phys Med Rehab. 2012;93(1 Suppl):S86–95.

    Article  Google Scholar 

  14. Cruice M, Worrall L, Hickson L. Quantifying aphasic people’s social lives in the context of non-aphasic peers. Aphasiology. 2006;20(12):1210–25.

    Article  Google Scholar 

  15. Tsouli S, Kyritsis A, Tsagalis G, Virvidaki E, Vemmos KN. Significance of aphasia after first-ever stroke: impact on early and late outcomes. Neuroepidemiology. 2009;33(2):96–102.

    Article  CAS  PubMed  Google Scholar 

  16. Guyomard V, Fulcher RA, Redmayne O, Metcalf AK, Potter JF, Myint PK. Effect of dysphasia and dysphagia on inpatient mortality and hospital length of stay: a database study. J Am Geriatr Soc. 2009;57(11):2101–6.

    Article  PubMed  Google Scholar 

  17. Bersano A, Burgio F, Gattinoni M, Candelise L. PROSIT Study Group. Aphasia burden to hospitalized acute stroke patients. Int J Stroke. 2009;4(6):443–7.

    Article  CAS  PubMed  Google Scholar 

  18. Inatomi Y, Yonehara T, Omiya S, Hashimoto Y, Hirano T, Uchino M. Aphasia during the acute phase in ischemic stroke. Cerebrovasc Dis. 2008;25(4):316–23.

    Article  CAS  PubMed  Google Scholar 

  19. Kameda W, Kawanami T, Kurita K, Daimon M, Kayama T, Hosoya T, et al. Lateral and medial medullary infarction: a comparative analysis of 214 patients. Stroke. 2004;35(3):694–9.

    Article  CAS  PubMed  Google Scholar 

  20. Suntrup S, Kemmling A, Warnecke T, Hamacher C, Oelenber S, Niederstadt T, et al. The impact of lesion location on dysphagia incidence, pattern, and complications in acute stroke. Part 1: dysphagia incidence, severity and aspiration. Eur J Neurol. 2015;22(5):832–8.

    Article  CAS  PubMed  Google Scholar 

  21. Hamdy S, Rothwell JC, Brooks DJ, Bailey D, Aziz Q, Thompson DG. Identification of the cerebral loci processing human swallowing with H2 15O PET activation. J Neurophysiol. 1999;81(4):1917–26.

    Article  CAS  PubMed  Google Scholar 

  22. Im I, Jun JP, Seungbae H, Ko MH. Swallowing outcomes in patients with subcortical stroke associated with lesions of the caudate nucleus and insula. J Int Med Res. 2018;46(9):3552–62.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Logemann JA, Shanahan T, Rademaker AW, Kahrilas PJ, Lazar R, Halper A. Oropharyngeal swallowing after stroke in the left basal ganglion/internal capsule. Dysphagia. 1993;8(3):230–4.

    Article  CAS  PubMed  Google Scholar 

  24. Park T, Kim Y, Oh BM. Laryngeal closure during swallowing in stroke survivors with a cortical or subcortical lesion. J Stroke Cerebrovasc Dis. 2017;26(8):1766–72.

    Article  PubMed  Google Scholar 

  25. Mistry S, Verin E, Singh S, Jefferson S, Rothwell JC, Thompson DG, et al. Unilateral suppression of pharyneal motor cortex to repetitive transcranial magnetic stimulation reveals functional asymmetry in the hemispheric projections to human swallow. J Physiol. 2007;585(Pt 2):525–38.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  26. May NH, Pisegna JN, Marchina S, Langmore SE, Kumar S, Pearson WG Jr. Pharyngeal swallowing secondary to hemispheric stroke. J Stroke Cerebrovasc Dis. 2017;26(5):952–61.

    Article  PubMed  Google Scholar 

  27. Li S, Luo C, Yu B, Gong Q, He C, Huang X, et al. Functional MRI study on dysphagia after unilateral hemispheric stroke: a preliminary study. J Neurol Neurosurg Psychiatry. 2009;80(12):1320–9.

    Article  CAS  PubMed  Google Scholar 

  28. Flowers HL, Skoretz SA, Streiner DL, Silver FL, Martino R. MRI-based neuroanatomical predictors of dysphagia after acute ischemic stroke: a systematic review and meta-analysis. Cerebrovasc Dis. 2011;32(1):1–10.

    Article  PubMed  Google Scholar 

  29. Lapa S, Luger S, Pfeilschifter W, Henke C, Wagner M, Foerch C. Predictors of dysphagia in acute pontine infarction. Stroke. 2017;48(5):1397–9.

    Article  PubMed  Google Scholar 

  30. Mariën P, Paghera B, De Deyn PP, Vignolo LA. Adult crossed aphasia in dextrals revisited. Cortex. 2004;40(1):41–74. Review.

    Article  PubMed  Google Scholar 

  31. Hoffmann M, Chen R. The spectrum of aphasia subtypes and etiology in subacute stroke. J Stroke Cerebrovasc Dis. 2013;22(8):1385–92.

    Article  PubMed  Google Scholar 

  32. Cauquil-Michon C, Flamand-Roze C, Denier C. Borderzone strokes and transcortical aphasia. Curr Neurol Neurosci Rep. 2011;11(6):570–7.

    Article  PubMed  Google Scholar 

  33. Tomasino B, Marin D, Maieron M, D’Agostini S, Medeossi I, Fabbro F, et al. A multimodal mapping study of conduction aphasia with impaired repetition and spared reading aloud. Neuropsychologia. 2015;70:214–26.

    Article  PubMed  Google Scholar 

  34. Dronkers N, Baldo JV. Language: aphasia. In: Squire LR, editor. Encyclopedia of neuroscience. Waltham, MA: Academic Press; 2009. p. 343–8.

    Chapter  Google Scholar 

  35. Rejecker A, Mathiak D, Wildgruber M, Erb I, Hertrich I, Grodd W, et al. fMRI reveals two distinct cerebral networks subserving speech motor control. Neurology. 2005;64(4):700–6.

    Article  Google Scholar 

  36. Urban PP, Wicht S, Vukurevic G, Fitzek C, Fitzek S, Stoeter P, et al. Dysarthria in acute ischemic stroke: lesion topography, clinicoradiologic correlation, and etiology. Neurology. 2001;56(8):1021–7.

    Article  CAS  PubMed  Google Scholar 

  37. Tomić G, Stojanović M, Pavlović A, Stanković P, Zidverc-Trajković J, Pavlović D, et al. Speech and language disorders secondary to diffuse subcortical vascular lesions: Neurolinguistic and acoustic analysis. A case report. J Neurol Sci. 2009;283(1–2):163–9.

    Article  PubMed  Google Scholar 

  38. Kim DH, Kyeong S, Ahn SJ, Park YG. The pulvinar nucleus is associated with the presence of dysarthria in patients with basal ganglia hemorrhage. Neurosci Lett. 2017;655:131–6.

    Article  CAS  PubMed  Google Scholar 

  39. Graff-Radford J, Jones DT, Strand EA, Rabinstein AA, Duffy JR, Josephs KA. The neuroanatomy of pure apraxia of speech in stroke. Brain Lang. 2014;129:43–6.

    Article  PubMed  PubMed Central  Google Scholar 

  40. Ballard KJ, Wambaugh JL, Duffy JR, Layfield C, Maas E, Mauszycki S, McNeil MR. Treatment for acquired apraxia of speech: a systematic review of intervention research between 2004 and 2012. Am J Speech Lang Pathol. 2015;24(2):316–37.

    Article  PubMed  Google Scholar 

  41. Musunuru K, Hickey KT, Al-Khatib SM, Delles C, Fornage M, Fox CS, et al. American Heart Association Council on Functional Genomics and Translational Biology, Council on Clinical Cardiology, Council on Cardiovascular Disease in the Young, Council on Cardiovascular and Stroke Nursing, Council on Epidemiology and Prevention, Council on Hypertension, Council on Lifestyle and Cardiometabolic Health, Council on Quality of Care and Outcomes Research, and Stroke Council. Basic concepts and potential applications of genetics and genomics for cardiovascular and stroke clinicians: a scientific statement from the American Heart Association. Circ Cardiovasc Genet. 2015;8(1):216–42.

    Article  PubMed  PubMed Central  Google Scholar 

  42. Traylor M, Farrall M, Holliday EG, Sudlow C, Hopewell JC, Cheng YC, et al. International Stroke Genetics Consortium. Genetic risks for ischemic stroke and its subtypes (the METASTROKE aollaboration): a meta-analysis of genome-wide association studies. Lancet. 2012;11(11):951–62.

    Article  Google Scholar 

  43. Winstein CJ, Stein J, Arena R, Bates B, Cherney LR, Cramer SC, et al. American Heart Association Stroke Council, Council on Cardiovascular and Stroke Nursing, Council on Clinical Cardiology, and Council on Quality of Care and Outcomes Research. Guidelines for Adult Stroke Rehabilitation and Recovery: A Guideline for Health Care Professionals from the American Heart Association/American Stroke Asssociation. Stroke. 2016;47(6):e98–e169.

    Article  PubMed  Google Scholar 

  44. Kertscher B, Speyer R, Palmierei M, Plant C. Bedside screening to detect oropharyngeal dysphagia in patients with neurological disorders: an updated systematic review. Dysphagia. 2013;29(2):204–12.

    Article  PubMed  Google Scholar 

  45. Schepp SK, Tirschwell DL, Miller RM, Longstreth WT Jr. Swallowing screens after acute stroke: a systematic review. Stroke. 2011;43(3):869–71.

    Article  PubMed  PubMed Central  Google Scholar 

  46. Widdicombe JG, Addington WR, Fontana GA, Stephens RE. Voluntary and reflex cough and the expiration reflex: implications for aspiration pneumonia after stroke. Pulm Pharmacol Ther. 2011;24(3):312–7.

    Article  CAS  PubMed  Google Scholar 

  47. Addington WR, Stephens RE, Widdicombe JG, Rekab K. Effect of stroke location on the laryngeal cough reflex and pneumonia risk. Cough. 2005;1(4) https://doi.org/10.1186/1745-9974-1-4.

  48. Ramsey D, Smithard D, Donaldson N, Kalra L. Is the gag reflex useful in the management of swallow problems in acute stroke? Dysphagia. 2005;20(2):105–7.

    Article  PubMed  Google Scholar 

  49. Park T, Kim Y, Ko DH, McCullough G. Initiation and duration of laryngeal closure during the pharyngeal swallow in post-stroke patients. Dysphagia. 2010;25(3):177–82.

    Article  PubMed  Google Scholar 

  50. Power ML, Hamdy S, Singh S, Tyrell PJ, Turbull I, Thompson DG. Deglutive laryngeal closure in stroke patients. J Neurol Neurosurg Psychiatry. 2007;78(2):141–6.

    Article  CAS  PubMed  Google Scholar 

  51. Onofri SM, Cola PC, Berti LC, da Silva RG, Dantas RO. Correlation between laryngeal sensitivity and aspiration after stroke. Dysphagia. 2014;29(2):256–61.

    Article  PubMed  Google Scholar 

  52. Yang H, Yi Y, Han Y, Kim HJ. Characteristics of cricopharyngeal dysphagia after ischemic stroke. Ann Rehabil Med. 2018;42(2):204–12.

    Article  PubMed  PubMed Central  Google Scholar 

  53. Cohen DL, Roffe C, Beavan J, Blackett B, Fairfield CA, Hamdy S, et al. Post-stroke dysphagia: a review and design considerations for future trials. Int J Stroke. 2016;11(4):399–411.

    Article  PubMed  Google Scholar 

  54. Bax L, McFarlane M, Green E, Miles A. Speech-language pathologist-led fiberoptic endoscopic evaluation of swallowing: functional outcomes for patients after stroke. J Stroke Cerebrovasc Dis. 2014;23(3):195–200.

    Article  Google Scholar 

  55. Aviv JE, Martin JH, Sacco RL, Zagar D, Diamond B, Keen MS, Blitzer A. Supraglottic and pharyngeal sensory abnormalities in stroke patients with dysphagia. Ann Otol Rhinol Laryngol. 1996;105(2):92–7.

    Article  CAS  PubMed  Google Scholar 

  56. Spencer KA, Brown KA. Dysarthria following stroke. Semin Speech Lang. 2018;39(1):15–24.

    Article  PubMed  Google Scholar 

  57. Godoy JF, Brasolotto AG, Berretin-Félix G, Fernandes AY. Neuroradiology and voice findings in stroke. Codas. 2014;26(2):168–74. [Article in English, Portuguese].

    Article  PubMed  Google Scholar 

  58. Venketasubramanian N, Seshadri R, Chee N. Vocal cord paresis in acute ischemic stroke. Cerebrovasc Dis. 1999;9(3):157–62.

    Article  CAS  PubMed  Google Scholar 

  59. Cabib C, Ortega O, Kumru H, Palomeras E, Vilardell N, Alvarez-Berdugo D, et al. Neurorehabilitation strategies for poststroke oropharyngeal dysphagia: from compensation to the recovery of swallowing function. Ann N Y Acad Sci. 2016;1380(1):121–38.

    Article  PubMed  Google Scholar 

  60. Park JS, An DH, Oh DH, Chang MY. Effect of chin tuck against resistance exercise on patients with dysphagia following stroke: a randomized pilot study. NeuroRehabilitation. 2018;42(2):191–7.

    Article  PubMed  Google Scholar 

  61. Cho YS, Oh DH, Paik YR, Lee JH, Park JS. Effects of bedside self-exercise on oropharyngeal swallowing function in stroke patients with dysphagia: a pilot study. J Phys Ther Sci. 2017;29(10):1815–6.

    Article  PubMed  PubMed Central  Google Scholar 

  62. Byeon H. Effect of the Masako maneuver and neuromuscular electrical stimulation on the improvement of swallowing function in patients with dysphagia caused by stroke. J Phys Ther Sci. 2016;28(7):2069–71.

    Article  PubMed  PubMed Central  Google Scholar 

  63. Foley N, Teasell R, Salter K, Kruger E, Martino R. Dysphagia treatment post stroke: a systematic review of randomised controlled trials. Age Ageing. 2008;37(3):258–64.

    Article  PubMed  Google Scholar 

  64. Geeganage C, Beavan J, Ellender S, Bath PN. Interventions for dysphagia and nutrition support in acute and subacute stroke. Cochrane Database Syst Rev. 2012;10:CD000323. https://doi.org/10.1002/14651858.CD000323.pub2. Review. Update in: Cochrane Database Syst Rev. 2018;10:CD000323.

    Article  PubMed  Google Scholar 

  65. Huang KL, Liu TY, Huang YC, Leong CP, Lin WW, Pong YP. Functional outcome in acute stroke patients with oropharyngeal dysphagia after swallowing therapy. J Stroke Cerebrovasc Dis. 2014;23(10):2547–53.

    Article  PubMed  Google Scholar 

  66. Xia W, Zheng C, Lei Q, Tang Z, Hua Q, Zhang Y, et al. Treatment of post-stroke dysphagia by vitalstim therapy coupled with conventional swallowing training. J Huazhong Univ Sci Technolog Med Sci. 2011;31(1):73–6.

    Article  CAS  PubMed  Google Scholar 

  67. Lee KW, Kim SB, Lee JH, Lee SJ, Ri JW, Park JG. The effect of neuromuscular electrical stimulation therapy in acute/subacute ischemic stroke patients with dysphagia. Ann Rehabil Med. 2014;38(2):153–9.

    Article  PubMed  PubMed Central  Google Scholar 

  68. Poorjavad M, Talebian Moghadam S, Nakhostin Ansari N, Daemi M. Surface electrical stimulation for treating swallowing disorders after stroke: a review of the stimulation intensity levels and electrode placements. Stroke Res Treat. 2014;2014:918057. Review.

    PubMed  PubMed Central  Google Scholar 

  69. Rofes L, Arreola V, López I, Martin A, Sebastián M, Ciurana A, Clavé P. Effect of surface sensory and motor electrical stimulation on chronic poststroke oropharyngeal dysfunction. Neurgastroenterol Motil. 2013;25(11):888–e701. https://doi.org/10.1111/nmo.12211.

    Article  CAS  Google Scholar 

  70. Brady MC, Kelly H, Godwin J, Enderby P, Campbell P. Speech and language therapy for aphasia following stroke. Cochrane Database Syst Rev. 2016;(6):CD000425.

    Google Scholar 

  71. Lavoi M, Macoir J, Bier N. Effectiveness of technologies in the treatment of post-stroke anomia. J Commun Disord. 2017;65:45–53.

    Google Scholar 

  72. Zheng C, Lynch L, Taylor N. Effect of computer therapy in aphasia: a systematic review. Aphasiology. 2016;30(2–3):211–44.

    Google Scholar 

  73. Russo MJ, Prodan V, Meda NN, Carcavallo L, Muracioli A, Sabe L, et al. High-technology augmentative communication for adults with post-stroke aphasia: a systematic review. Expert Rev Med Devices. 2017;14(5):355–70.

    Article  CAS  PubMed  Google Scholar 

  74. Maddy KM, Capilouto GJ, McComas KL. The effectiveness of semantic feature analysis.: an evidence-based systematic review. Ann Phys Rehabil Med. 2014;57(4):254–67.

    Article  CAS  PubMed  Google Scholar 

  75. Simmons-Mackie N, Raymer A, Cherney LR. Communication partner training in aphasia: an updated systematic review. Arch Phys Med Rehab. 2016;97(12):2202–21.

    Article  Google Scholar 

  76. Van Sickle A. Evidence-based intervention for individuals with acquired apraxia of speech. EBP Briefs. 2016;11(2):1–9.

    Google Scholar 

  77. Mitchell C, Bowen A, Tyson S, Butterfint Z, Conroy P. Interventions for dysarthria due to stroke and other adult-acquired, non-progressive brain injury. Cochrane Database Syst Rev. 2017;1:CD002088.

    PubMed  Google Scholar 

  78. Miller N, Bloch S. A survey of speech-language therapy provision for people with post-stroke dysarthria in the UK. Int J of Lang Commun Disord. 2017;52(6):800–15.

    Article  Google Scholar 

  79. Winters C, van Wegen EE, Daffertshofer A, Kwakkel G. Generalizability of the proportional recovery model for the upper extremity after an ischemic stroke. Neurorehabil Neural Repair. 2015;29(7):614–22.

    Article  PubMed  Google Scholar 

  80. Stinear CM, Byblow WD, Ackerley SJ, Smith MC, Borges VM, Barber PA. Proportional motor recovery after stroke: implications for trial design. Stroke. 2017;48(3):795–8.

    Article  PubMed  Google Scholar 

  81. Jørgensen ME, Torp-Pedersen C, Gislason GH, Jensen PF, Berger SM, Christiansen CB, et al. Time elapsed after ischemic stroke and risk of adverse cardiovascular events and mortality following elective noncardiac surgery. JAMA. 2014;312(3):269–77.

    Article  CAS  PubMed  Google Scholar 

  82. Mau T, Pan HM, Childs LF. The natural history of recoverable vocal fold paralysis: implications for kinetics of reinnervation. Laryngoscope. 2017;127(11):2585–90.

    Article  PubMed  Google Scholar 

  83. Yung KC, Likhterov I, Courey MS. Effect of temporary vocal fold injection medialization on the rate of permanent medialization laryngoplasty in unilateral vocal fold paralysis patients. Laryngoscope. 2011;121(10):2191–4.

    Article  PubMed  Google Scholar 

  84. Ruddy BH, Pitts TE, Lehman J, Spector B, Lewis V, Sapienza CM. Improved voluntary cough immediately following office based vocal fold injection medialization injections. Laryngoscope. 2014;124(7):1645–7.

    Article  PubMed  Google Scholar 

  85. Cates DJ, Venkatesan NN, Strong B, Kuhn MA, Belafsky PC. Effect of vocal fold medialization on dysphagia in patients with unilateral vocal fold immobility. Otolaryngol Head Neck Surg. 2016;155(3):454–7.

    Article  PubMed  Google Scholar 

  86. Wei X, Yu F, Dai M, Xie C, Wan G, Wang Y, Dou Z. Change in excitability of cortical projection and modified catheter balloon dilation therapy in brainstem stroke patients with dysphagia: a prospective controlled study. Dysphagia. 2017;32(5):645–56.

    Article  PubMed  PubMed Central  Google Scholar 

  87. Alfonsi E, Restivo DA, Cosentino G, De Icco R, Bertino G, Schindler S, et al. Botulinum toxin is effective in the management of neurogenic dysphagia. Front Pharmacol. 2017;8(80) https://doi.org/10.3389/fphar.2017.00080.

  88. Bergeron JL, Chhetri DK. Indications and outcomes of endoscopic CO2 laser cricopharyngeal myotomy. Laryngoscope. 2013;124(4):950–4.

    Article  PubMed  PubMed Central  Google Scholar 

  89. Quartarone A. Repetitive transcranial magnetic stimulation enhances BDNF-TrkB signaling in the both brain and lymphocyte. Clin Neurophysiol. 2013;124(10):e51.

    Article  Google Scholar 

  90. Brunoni AR, Nitsche MA, Bolognini N, Bikson M, Wagner T, Merabet L. Clinical research with transcranial direct current stimulation (tDCS): challenges and future directions. Brain Stimul. 2012;5(3):175–95.

    Article  PubMed  Google Scholar 

  91. Pisegna JM, Kaneoka A, Pearson WG Jr, Kumar S, Langmore SE. Effects of non-invasive brain stimulation on post-stroke dysphagia: a systematic review and meta-analysis of randomized controlled trials. Clin Neurophysiol. 2016;127(1):956–8.

    Article  PubMed  Google Scholar 

  92. Liao X, Guoqiang X, Zhiwei G, Jin y TQ, He B, et al. Repetitive transcranial magnetic stimulation as an alternative therapy for dysphagia after stroke: a systematic review and meta-analysis. Clin Rehabil. 2017;31(3):289–98.

    Article  PubMed  Google Scholar 

  93. Elsner B, Kugler J, Pohl M, Mehrholz J. Transcranial direct current stimulation for improving aphasia in patients with aphasia after stroke. Cochrane Database Syst Rev. 2015;5:CD009760.

    Google Scholar 

  94. Restivo DA, Hamdy S. Pharyngeal electrical stimulation device for the treatment of neurogenic dysphagia: technology update. Med Devices (Auckl). 2018;11:21–6.

    CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Otolaryngology, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA

    G. Todd Schneider

  2. Department of Speech Pathology, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA

    Sheryl A. N. Maier

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Correspondence to G. Todd Schneider .

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  1. Division of Otolaryngology–Head & Neck Surgery, Department of Surgery, University of California San Diego, La Jolla, CA, USA

    Philip A. Weissbrod

  2. Division of Otolaryngology–Head & Neck Surgery, Department of Surgery, University of Wisconsin–Madison, Madison, WI, USA

    David O. Francis

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Schneider, G.T., Maier, S.A.N. (2020). Cerebrovascular Accident. In: Weissbrod, P., Francis, D. (eds) Neurologic and Neurodegenerative Diseases of the Larynx. Springer, Cham. https://doi.org/10.1007/978-3-030-28852-5_18

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