Skip to main content

Diagnostik

  • Chapter
  • First Online:
Dysphagie

Part of the book series: Praxiswissen Logopädie ((PRAXISWISSEN))

  • 329 Accesses

Zusammenfassung

Dieses Kapitel beschäftigt sich mit der Dokumentation und der klinischen bzw. apparativen Diagnostik von Dysphagien. Die Klassifikationssysteme des deutschen Gesundheitssystems werden beschrieben, in denen Dysphagien und assoziierte Störungen (wie Sondenernährung und Trachealkanülen) erfasst bzw. dokumentiert werden können: ICF, ICD-10-GM-2022, OPS- und DRG-Katalog. Es folgen Screeningverfahren (insbesondere bezüglich Dysphagien und Aspirationen in der akuten Schlaganfallphase) und die ausführliche klinische Schluckuntersuchung. Die drei wichtigsten apparativen Verfahren der Dysphagiologie werden ausführlich dargestellt: die Videoendoskopie, die Videofluoroskopie des Schluckens sowie die Manometrie von Pharynx und Ösophagus. Der letzte Abschnitt befasst sich mit der Bedeutung klinischer und apparativer Diagnostikinstrumente für die Verlaufskontrolle.

FlashCards zur Wissensüberprüfung

Wenn Sie das Buch käuflich erworben haben, können Sie kostenlos unsere Flashcard-App „SN Flashcards“ mit Fragen zur Wissensüberprüfung und zum Lernen von Buchinhalten nutzen. Einfach über den iOS- oder Android-App-Store herunterladen. Weiter geht’s wie folgt:

1. Gehen Sie auf ► https://flashcards.springernature.com/login

2. Erstellen Sie ein Benutzerkonto, indem Sie Ihre Mailadresse angeben und ein Passwort vergeben.

3. Verwenden Sie den folgenden Link, um Zugang zu Ihrem SN Flashcards Set zu erhalten: ▶ www.sn.pub/Ad5Q7d

Sollte der Link fehlen oder nicht funktionieren, senden Sie uns bitte eine E-Mail mit dem Betreff „SN Flashcards“ und dem Buchtitel an customerservice@springernature.com.

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

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 49.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Literatur

  • Albeldawi M, Makkar R (2012) Barium aspiration. N Engl J Med 366:1038

    Article  PubMed  Google Scholar 

  • Alfonsi E, Merlo IM, Ponzio M, Montomoli C, Tassorelli C, Biancardi C, Lozza A, Martignoni E (2010) An electrophysiological approach to the diagnosis of neurogenic dysphagia: implications for botulinum toxin treatment. J Neurol Neurosurg Psychiatry 81:54–60

    Article  CAS  PubMed  Google Scholar 

  • Alfonsi E, Restivo DA, Cosentino G, De Icco R, Bertino G, Schindler A, Todisco M, Fresia M, Cortese A, Prunetti P, Ramusino MC, Moglia A, Sandrini G, Tassorelli C (2017) Botulinum toxin is effective in the management of neurogenic dysphagia – clinical-electrophysiological findings and tips on safety in different neurological disorders. Front Pharmacol 8:80. https://doi.org/10.3389/fphar.2017.00080

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Aviv JE, Kaplan ST, Thomson JE, Spitzer J, Diamond B, Close LG (2000) The safety of flexible endoscopic evaluation of swallowing with sensory testing (FEESST): an analysis of 500 consecutive evaluations. Dysphagia 15:39–44

    Article  CAS  PubMed  Google Scholar 

  • Bandini A, Smaoui S, Steele CM (2022) Automated pharyngeal phase detection and bolus localization in videofluoroscopic swallowing study: killing two birds with one stone? Comput Methods Prog Biomed 225:107058. https://doi.org/10.1016/j.cmpb.2022.107058

    Article  Google Scholar 

  • Bartolome G, Starrost U, Schröter-Morasch H, Schilling B, Fischbacher L, Kues L, Graf S, Ziegler W (2021) Validation of the Munich Swallowing Score (MUCSS) in patients with neurogenic dysphagia: a preliminary study. NeuroRehabilitation 49:445–457

    Article  CAS  PubMed  Google Scholar 

  • Belafsky PC, Blumenfeld L, LePage A, Nahrstedt K (2003) The accuracy of the modified Evan’s blue dye test in predicting aspiration. Laryngoscope 113:1969–1972

    Article  PubMed  Google Scholar 

  • Birkmann U, Kley C (2018) FEES: Die funktionelle Schluckuntersuchung in der Neurologie – ein Videolehrgang. Hippocampus-Verlag, Bad Honnef

    Google Scholar 

  • Bonilha HS, Humphries K, Blair J, Hill EG, McGrattan K, Carnes B, Huda W, Martin-Harris B (2013) Radiation exposure time during MBSS: influence of swallowing impairment severity, medical diagnosis, clinician experience, and standardized protocol use. Dysphagia 28:77–85

    Article  PubMed  Google Scholar 

  • Braun T, Juenemann M, Viard M, Meyer M, Reuter I, Mausbach S, Doerr JM, Schirotzek I, Prosiegel M, Schramm P, Kaps M, Tanislav C (2021) Flexible endoscopic evaluation of swallowing (FEES) to determine neurological intensive care patients’ oral diet. Int J Speech Lang Pathol 23(1):83–91

    Article  PubMed  Google Scholar 

  • Bray BD, Smith CJ, Cloud GC, Enderby P, James M, Paley L, Tyrrell PJ, Wolfe CD, Rudd AG, SSNAP Collaboration (2017) The association between delays in screening for and assessing dysphagia after acute stroke, and the risk of stroke-associated pneumonia. J Neurol Neurosurg Psychiatry 88:25–30L

    Article  PubMed  Google Scholar 

  • Bülow M (2019) The therapeutic swallowing study. In: Ekberg (Hrsg) Dysphagia. Springer, Berlin/Heidelberg, S 565–580

    Google Scholar 

  • Castell JA, Castell DO (1993) Modern solid state computerized manometry of the pharyngoesophageal segment. Dysphagia 8:270–275

    Article  CAS  PubMed  Google Scholar 

  • Cock C, Omari T (2017) Diagnosis of swallowing disorders: how we interpret pharyngeal manometry. Curr Gastroenterol Rep 19:11. https://doi.org/10.1007/s11894-017-0552-2

    Article  PubMed  PubMed Central  Google Scholar 

  • Colodny N (2002) Interjudge and intrajudge reliabilities in fiberoptic endoscopic evaluation of swallowing (FEES) using the penetration-aspiration scale: a replication study. Dysphagia 17:308–315

    Article  PubMed  Google Scholar 

  • Cook IJ (1993) Cricopharyngeal function and dysfunction. Dysphagia 1993(8):244–251

    Article  Google Scholar 

  • Crary MA, Mann GD, Groher ME (2005) Initial psychometric assessment of a functional oral intake scale for dysphagia in stroke patients. Arch Phys Med Rehabil 86:1516–2150

    Article  PubMed  Google Scholar 

  • Curtis JA, Borders JC, Perry SE, Dakin AE, Seikaly ZN, Troche MS (2022) Visual analysis of swallowing efficiency and safety (VASES): a standardized approach to rating pharyngeal residue, penetration, and aspiration during FEES. Dysphagia 37:417–435

    Article  PubMed  Google Scholar 

  • Daniels SK, McAdam CP, Brailey K, Foundas AL (1997) Clinical assessment of swallowing and prediction of dysphagia severity. Am J Speech Lang Pathol 6:17–24

    Article  Google Scholar 

  • Daniels SK, Anderson JA, Wilson PC (2012) Valid items for screening dysphagia risk in patients with stroke: a systematic review. Stroke 43:892–897

    Article  PubMed  Google Scholar 

  • Davies AE, Kidd D, Stone SP, MacMahon J (1995) Pharyngeal sensation and gag reflex in healthy subjects. Lancet 345:487–488

    Article  CAS  PubMed  Google Scholar 

  • Dong Y, Zhang CJ, Shi J, Deng J, Lan CN (2016) Clinical application of ICF key codes to evaluate patients with dysphagia following stroke. Medicine (Baltimore) 95:e4479

    Article  PubMed  Google Scholar 

  • Donovan NJ, Daniels SK, Edmiaston J, Weinhardt J, Summers D, Mitchell PH, American Heart Association Council on Cardiovascular Nursing and Stroke Council (2013) Dysphagia screening: state of the art: invitational conference proceeding from the State-of-the-Art Nursing Symposium. Int Stroke Conf 2012 44:e24–e31

    Google Scholar 

  • Donzelli J, Brady S, Wesling M, Craney M (2001) Simultaneous modified Evans blue dye procedure and video nasal endoscopic evaluation of the swallow. Laryngoscope 111:1746–1750

    Article  CAS  PubMed  Google Scholar 

  • Dziewas R, Warnecke T, Olenberg S, Teismann I, Zimmermann J, Kramer C, Ritter M, Ringelstein EB, Schabitz WR (2008) Towards a basic endoscopic assessment of swallowing in acute stroke – development and evaluation of a simple dysphagia score. Cerebrovasc Dis 26:41–47

    Article  PubMed  Google Scholar 

  • Dziewas R, Glahn J, Helfer C, Ickenstein G, Keller J, Lapa S, Ledl C, Lindner-Pfleghar B, Nabavi D, Prosiegel M, Riecker A, Stanschus S, Warnecke T, Busse O (2014) for neurogenic dysphagia: training curriculum of the German Society of Neurology and the German Stroke Society. Nervenarzt 85:1006–1015

    Article  CAS  PubMed  Google Scholar 

  • Dziewas R, Auf dem Brinke M, Birkmann U, Bräuer G, Busch K, Cerra F, Damm-Lunau R, Dunkel J, Fellgiebel A, Garms E, Glahn J, Hagen S, Held S, Helfer C, Hiller M, Horn-Schenk C, Kley C, Lange N, Lapa S, Ledl C, Lindner-Pfleghar B, Mertl-Rötzer M, Müller M, Neugebauer H, Özsucu D, Ohms M, Perniß M, Pfeilschifter W, Plass T, Roth C, Roukens R, Schmidt-Wilcke T, Schumann B, Schwarze J, Schweikert K, Stege H, Theuerkauf D, Thomas RS, Vahle U, Voigt N, Weber H, Werner CJ, Wirth R, Wittich I, Woldag H, Warnecke T (2019) Safety and clinical impact of FEES – results of the FEES-registry. Neurol Res Pract 1:16. https://doi.org/10.1186/s42466-019-0021-5

    Article  PubMed  PubMed Central  Google Scholar 

  • Edmiaston J, Conno LT, Steger-May K, Ford AL (2014) A simple bedside stroke dysphagia screen, validated against videofluoroscopy, detects dysphagia and aspiration with high sensitivity. J Stroke Cerebrovasc Dis 23:712–716

    Article  PubMed  Google Scholar 

  • Gerschke M, Schöttker-Königer T, Förster A, Netzebandt JF, Beushausen UM (2019) Validation of the German version of the Yale pharyngeal residue severity rating scale. Dysphagia 34:308–314

    Article  PubMed  Google Scholar 

  • Graf S, Keilmann A, Dazert S, Deitmer T, Stasche N, Arnold B, Löhler J, Arens C, Pflug C (2019) Ausbildungscurriculum zum Zertifikat „Diagnostik und Therapie oropharyngealer Dysphagien, inklusive FEES“ der Deutschen Gesellschaft für Phoniatrie und Pädaudiologie und der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Laryngorhinootologie 98:695–700

    Article  PubMed  Google Scholar 

  • Hamzic S, Braun T, Juenemann M, Butz M, Voswinckel R, Belly M, Vogelbusch O, Weber S, Khilan H, Kaps M, Gerriets T (2021) Validation of the German version of functional oral intake scale (FOIS-G) for flexible endoscopic evaluation of swallowing (FEES). Dysphagia 36:130–139

    Article  PubMed  Google Scholar 

  • Heuschmann PU, Kolominsky-Rabas PL, Misselwitz B, Hermanek P, Leffmann C, Janzen RW, Rother J, Buecker-Nott HJ, Berger K, German Stroke Registers Study Group (2004) Predictors of in-hospital mortality and attributable risks of death after ischemic stroke: the German Stroke Registers Study Group. Arch Intern Med 164:1761–1768

    Article  PubMed  Google Scholar 

  • Hey C, Pluschinski P, Zaretsky Y, Almahameed A, Hirth D, Vaerst B, Wagenblast J, Stöver T (2014) Penetrations-Aspirations-Skala nach Rosenbek. HNO 62:276–281

    Article  CAS  PubMed  Google Scholar 

  • Hinchey JA, Shephard T, Furie K, Smith D, Wang D, Tonn S, Stroke Practice Improvement Network Investigators (2005) Formal dysphagia screening protocols prevent pneumonia. Stroke 36:1972–1976

    Article  PubMed  Google Scholar 

  • Hirst LJ, Ford GA, Gibson GJ, Wilson JA (2002) Swallow-induced alterations in breathing in normal older people. Dysphagia 17:152–161

    Article  PubMed  Google Scholar 

  • Hörmann K, Dziewas R, Graf S, Feußner H, Becker V (2015) Endoskopische Dysphagiediagnostik. Endheu 28:125–131

    Google Scholar 

  • Huckabee ML, Lamvik K, Jones R (2014) Pharyngeal mis-sequencing in dysphagia: characteristics, rehabilitative response, and etiological speculation. J Neurol Sci 343:153–158

    Article  CAS  PubMed  Google Scholar 

  • Huckabee ML, Flynn R, Mills M (2022) Expanding rehabilitation options for dysphagia: skill-based swallowing training. Dysphagia. https://doi.org/10.1007/s00455-022-10516-3

  • Ishida R, Palmer JB, Hiiemae KM (2002) Hyoid motion during swallowing: factors affecting forward and upward displacement. Dysphagia 17:262–272

    Article  PubMed  Google Scholar 

  • Keage M, Delatycki M, Corben L, Vogel A (2015) A systematic review of self-reported swallowing assessments in progressive neurological disorders. Dysphagia 30:27–46

    Article  PubMed  Google Scholar 

  • Kelly AM, Leslie P, Beale T, Payten C, Drinnan MJ (2006) Fibreoptic endoscopic evaluation of swallowing and videofluoroscopy: does examination type influence perception of pharyngeal residue severity? Clin Otolaryngol 31:425–432

    Article  CAS  PubMed  Google Scholar 

  • Kelly AM, Drinnan MJ, Leslie P (2007) Assessing penetration and aspiration: how do videofluoroscopy and fiberoptic endoscopic evaluation of swallowing compare? Laryngoscope 117:1723–1727

    Article  PubMed  Google Scholar 

  • Kim Y, McCullough GH, Asp CW (2005) Temporal measurements of pharyngeal swallowing in normal populations. Dysphagia 20:290–296

    Article  PubMed  Google Scholar 

  • Knigge MA, Thibeault S, McCulloch TM (2014) Implementation of high-resolution manometry in the clinical practice of speech language pathology. Dysphagia 29:2–16

    Article  PubMed  PubMed Central  Google Scholar 

  • Kocdor P, Siegel ER, Tulunay-Ugur OE (2016) Cricopharyngeal dysfunction: a systematic review comparing outcomes of dilatation, botulinum toxin injection, and myotomy. Laryngoscope 126:135–141

    Article  CAS  PubMed  Google Scholar 

  • Kraus E, Rommel N, Stoll L, Oettinger A, Vogel A, Synofzik M (2018) Validation and psychometric properties of the German version of the SWAL-QOL. Dysphagia 33:431–440

    Google Scholar 

  • Langmore SE (Hrsg) (2001) Endoscopic evaluation and treatment of swallowing disorders. Thieme, New York

    Google Scholar 

  • Langmore SE, Schatz K, Olsen N (1988) Fiberoptic endoscopic examination of swallowing safety: a new procedure. Dysphagia 2:216–219

    Article  CAS  PubMed  Google Scholar 

  • Leder SB (1996) Gag reflex and dysphagia. Head Neck 18:138–141

    Article  CAS  PubMed  Google Scholar 

  • Lindner-Pfleghar B, Neugebauer H, Stösser S, Kassubek J, Ludolph A, Dziewas R, Prosiegel M, Riecker A (2017) Dysphagiemanagement beim akuten Schlaganfall – Eine prospektive Studie zur Überprüfung der geltenden Empfehlungen. Nervenarzt 88:173–179

    Google Scholar 

  • Lucarelli MR, Shirk MB, Julian MW, Crouser ED (2004) Toxicity of food drug and cosmetic blue No. 1 dye in critically ill patients. Chest 125:793–795

    Article  PubMed  Google Scholar 

  • Maloney J, Metheny N (2002) Controversy in using blue dye in enteral tube feeding as a method of detecting pulmonary aspiration. Crit Care Nurse 22:84–85

    Article  PubMed  Google Scholar 

  • Martin-Harris B, Brodsky MB, Michel Y, Castell DO, Schleicher M, Sandidge J, Maxwell R, Blair J (2008) MBS measurement tool for swallow impairment –MBSImp: establishing a standard. Dysphagia 23:392–405

    Article  PubMed  PubMed Central  Google Scholar 

  • Martino R, Foley N, Bhogal S, Diamant N, Speechley M, Teasell R (2005) Dysphagia after stroke – incidence, diagnosis, and pulmonary complications. Stroke 36:2756–2763

    Article  PubMed  Google Scholar 

  • McCullough GH, Wertz RT, Rosenbek JC, Mills RH, Ross KB, Ashford JR (2000) Inter- and intrajudge reliability of a clinical examination of swallowing in adults. Dysphagia 15:58–67

    Article  CAS  PubMed  Google Scholar 

  • McHorney CA, Robbins J, Lomax K, Rosenbek JC, Chignell K, Kramer AE, Bricker DE (2002) The SWAL-QOL and SWAL-CARE outcomes tool for oropharyngeal dysphagia in adults: III. Documentation of reliability and validity. Dysphagia 17:97–114

    Article  PubMed  Google Scholar 

  • Mielens JD, Hoffman MR, Ciucci MR, Jiang JJ, McCulloch TM (2011) Automated analysis of pharyngeal pressure data obtained with high-resolution manometry. Dysphagia 26:3–12

    Article  PubMed  Google Scholar 

  • Muhle P, Suntrup-Krueger S, Burkardt K, Lapa S, Ogawa M, Claus I, Labeit B, Ahring S, Oelenberg S, Warnecke T, Dziewas R (2021) Standardized endoscopic swallowing evaluation for tracheostomy decannulation in critically ill neurologic patients – a prospective evaluation. Neurol Res Pract 3:26. https://doi.org/10.1186/s42466-021-00124-1

    Article  PubMed  PubMed Central  Google Scholar 

  • Murray J, Langmore SE, Ginsberg S, Dostie A (1996) The significance of accumulated oropharyngeal secretions and swallowing frequency in predicting aspiration. Dysphagia 11:99–103

    Article  CAS  PubMed  Google Scholar 

  • Mustafa-Kamal R, Huckabee ML, Kelly BN (2003) Profiling of dysphagia of patients admitted to a stroke ward: a retrospective study. N Z J Speech-Lang Ther 58:4–14

    Google Scholar 

  • Nativ-Zeltzer N, Kahrilas PJ, Logemann JA (2012) Manofluorography in the evaluation of oropharyngeal dysphagia. Dysphagia 27:151–161

    Article  PubMed  Google Scholar 

  • Neubauer PD, Rademaker AW, Leder SB (2015) The Yale pharyngeal residue severity rating scale: an anatomically defined and image-based tool. Dysphagia 30:521–528

    Article  PubMed  Google Scholar 

  • Olsson R, Nilsson H, Ekberg O (1995) Simultaneous videoradiography and pharyngeal solid state manometry (videomanometry) in 25 nondysphagic volunteers. Dysphagia 10:36–41

    Article  CAS  PubMed  Google Scholar 

  • Omari TI, Ciucci M, Gozdzikowska K, Hernández E, Hutcheson K, Jones C, Maclean J, Nativ-Zeltzer N, Plowman E, Rogus-Pulia N, Rommel N, O'Rourke A (2020) High-resolution pharyngeal manometry and impedance: protocols and tetrics-recommendations of a high-resolution pharyngeal manometry international working group. Dysphagia 35:281–295

    Article  PubMed  Google Scholar 

  • O'Neil KH, Purdy M, Falk J, Gallo L (1999) The dysphagia outcome and severity scale. Dysphagia 14:139–145

    Article  CAS  PubMed  Google Scholar 

  • Peruzzi WT, Logemann JA, Currie D, Moen SG (2001) Assessment of aspiration in patients with tracheostomies: comparison of the bedside colored dye assessment with videofluoroscopic examination. Respir Care 46:243–247

    CAS  PubMed  Google Scholar 

  • Pisegna JM, Langmore SE (2016) Parameters of instrumental swallowing evaluations: describing a diagnostic dilemma. Dysphagia 31:462–472

    Article  PubMed  Google Scholar 

  • Pluschinski P, Zaretsky Y, Almahameed A, Koseki JC, Leinung M, Girth L, Wagenblast J, Sader R, Stöver T, Hey C (2014) Sekretbeurteilungsskala nach Murray et al. für FEES®: Reliabilitäts- und Validitätsvergleich der deutschen Lang- und Kurzversion. Nervenarzt 85:1582–1587

    Article  CAS  PubMed  Google Scholar 

  • Pohl M, Bertram M, Bucka C, Hartwich M, Jöbges, Ketter G, Leineweber B, Mertl-Rötzer M, Nowak DA, Platz T, Rollnik JD, Scheidtmann K, Thomas RS, von Rosen F, Wallesch CW, Woldag H, Peschel P, Mehrholz J (2016) Patientenklientel und Rehabilitationsverlauf in der neurologisch-neurochirurgischen Frührehabilitation – ein Vergleich der Jahre 2002 und 2014. Akt Neurol 43:534–540

    Article  Google Scholar 

  • Rentsch HP, Bucher PO (2006) ICF in der Rehabilitation: Die praktische Anwendung der internationalen Klassifikation der Funktionsfähigkeit, Behinderung und Gesundheit im Rehabilitationsalltag. Schulz-Kirchner, Idstein

    Google Scholar 

  • Rosenbek JC, Robbins JA, Roecker EB, Coyle JL, Wood JL (1996) A penetration-aspiration scale. Dysphagia 11:93–98

    Article  CAS  PubMed  Google Scholar 

  • Salassa JR, DeVault KR, McConnel FM (1998) Proposed catheter standards for pharyngeal manofluorography (videomanometry). Dysphagia 13:105–110

    Article  CAS  PubMed  Google Scholar 

  • Schepp SK, Tirschwell DL, Miller RM, Longstreth WT Jr (2012) Swallowing screens after acute stroke: a systematic review. Stroke 43:869–871

    Article  PubMed  Google Scholar 

  • Suiter DM, Leder SB (2008) Clinical utility of the 3-ounce water swallow test. Dysphagia 23:244–250

    Article  PubMed  Google Scholar 

  • Takahashi N, Kikutani T, Tamura F, Groher M, Kuboki T (2012) Videoendoscopic assessment of swallowing function to predict the future incidence of pneumonia of the elderly. J Oral Rehabil 39:429–437

    Article  CAS  PubMed  Google Scholar 

  • Thompson-Henry S, Braddock B (1995) The modified Evan’s blue dye procedure fails to detect aspiration in the tracheostomized patient: five case reports. Dysphagia 10:172–174

    Article  CAS  PubMed  Google Scholar 

  • Trapl M, Enderle P, Nowotny M, Teuschl Y, Matz K, Dachenhausen A, Brainin M (2007) Dysphagia bedside screening for acute-stroke patients: the Gugging Swallowing Screen. Stroke 38:2948–2952

    Article  PubMed  Google Scholar 

  • Trulzsch DV, Penmetsa A, Karim A, Evans DA (1992) Gastrografin-induced aspiration pneumonia: a lethal complication of computed tomography. South Med J 85:1255–1256

    Article  CAS  PubMed  Google Scholar 

  • Warnecke T, Dziewas R (2013) Neurogene Dysphagien: Diagnostik und Therapie. Kohlhammer, Stuttgart

    Google Scholar 

  • Warnecke T, Teismann I, Zimmermann J, Oelenberg S, Ringelstein EB, Dziewas R (2008) Fiberoptic endoscopic evaluation of swallowing with simultaneous Tensilon application in diagnosis and therapy of myasthenia gravis. J Neurol 255:224–230

    Article  PubMed  Google Scholar 

  • Warnecke T, Teismann I, Oelenberg S, Hamacher C, Ringelstein EB, Schaebitz WR, Dziewas R (2009) Towards a basic endoscopic evaluation of swallowing in acute stroke – identification of salient findings by the inexperienced examiner. BMC Med Educ 9:13. https://doi.org/10.1186/1472-6920-9-13

    Article  PubMed  PubMed Central  Google Scholar 

  • Warnecke T, Suttrup I, Schröder JB, Osada N, Oelenberg S, Hamacher C, Suntrup S, Dziewas R (2016) Levodopa responsiveness of dysphagia in advanced Parkinson's disease and reliability testing of the FEES-Levodopa-test. Parkinsonism Relat Disord 28:100–106

    Article  PubMed  Google Scholar 

  • Zammit-Maempel I, Chapple CL, Leslie P (2007) Radiation dose in videofluoroscopic swallow studies. Dysphagia 22:13–14

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2024 Der/die Autor(en), exklusiv lizenziert an Springer-Verlag GmbH, DE, ein Teil von Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Prosiegel, M., Weber, S., Braun, T. (2024). Diagnostik. In: Dysphagie. Praxiswissen Logopädie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-66430-8_8

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-66430-8_8

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-66429-2

  • Online ISBN: 978-3-662-66430-8

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics