Pediatric Radiology

, Volume 26, Issue 10, pp 720–722 | Cite as

Videofluoroscopic assessment in children with severe cerebral palsy presenting with dysphagia

  • R. E. R. Wright
  • E. R. Wright
  • C. A. Carson
Article

Abstract

In this study 16 patients with severe spastic cerebral palsy with an age range between 6 months and 16 years were examined using videofluoroscopy and a modified barium meal. All patients were slow, inefficient eaters. Silent aspiration was demonstrated in five cases. The latter five patients demonstrated a delayed swallow reflex but there was little correlation between aspiration and the oral phase of deglutition. Our data confirms the impression that early diagnostic workup including videofluoroscopy is helpful in managing the feeding difficulties in these children, and may prevent chronic aspiration and malnutrition.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Mirrett PL, et al (1994) Dysphagia in severe spastic cerebral palsy. Dysphagia 9:174–179PubMedGoogle Scholar
  2. 2.
    Chen MY, et al (1992) Clinical and videofluoroscopic evaluation of swallowing in 41 patients with neurological disease. Gastrointest Radiol 17:95–98PubMedGoogle Scholar
  3. 3.
    Griggs CA, Jones PM, Lee RE (1989) Videofluoroscopic investigation of feeding disorders in children with multiple handicap. Dev Med Child Neurol 31:303–308PubMedGoogle Scholar
  4. 4.
    Stalling VA, Charney EB, Davies JC, Cronk CE (1993) Nutrition-related growth failure of children with quadriplegic cerebral palsy. Dev Med Child Neurol 35:126–138PubMedGoogle Scholar
  5. 5.
    Haberfellner H, Rosiwall B (1977) Treatment of oral sensorimotor disorders in cerebral palsied children: preliminary report. Dev Med Child Neurol 19:350–352PubMedGoogle Scholar
  6. 6.
    Suleiman OH. Development of a method to calculate organ doses for the upper gastrointestinal fluoroscopic examination (Doctoral thesis). he John Hopkins University, BaltimoreGoogle Scholar
  7. 7.
    Jones B, Donner MW (1990) Normal and abnormal swallowing. In: Imaging in diagnosis and therapy. Springer-Verlag, Berlin Heidelberg New YorkGoogle Scholar

Copyright information

© Springer-Verlag 1996

Authors and Affiliations

  • R. E. R. Wright
    • 1
  • E. R. Wright
    • 1
  • C. A. Carson
    • 1
  1. 1.The Ulster HospitalDundonaldUK

Personalised recommendations