, Volume 1, Issue 4, pp 187–192 | Cite as

Neurologic evaluation of dysphagia

  • David Buchholz


Unexplained dysphagia is often caused by unrecognized neurologic disease. A previous article (Buchholz 1987) discussed the many neurologic diseases that may cause dysphagia. This article reviews a neurologist's approach to dysphagia of possible neurologic origin. As with most medical problems, a careful history provides more information about dysphagia than any other data-gathering technique. Therefore, history-taking is discussed first, followed by review of pertinent aspects of the general and neurologic examinations and ancillary testing.

Key words

Oral phase Pharyngeal phase Adaptation Compensation Decompensation 


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  1. 1.
    Buchholz, D. 1987. Neurologic causes of dysphagia.Dysphagia 1:152–156.Google Scholar
  2. 2.
    Buchholz, D.W., J.F. Bosma, and M.W. Donner. 1985. Adaptation, compensation, and decompensation of the pharyngeal swallow.Gastrointest. Rad. 10:235–239.CrossRefGoogle Scholar

Copyright information

© Springer-Verlag New York Inc 1987

Authors and Affiliations

  • David Buchholz
    • 1
  1. 1.Department of NeurologyThe Johns Hopkins Medical InstitutionsBaltimoreUSA

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