E-resources
Peer reviewed
-
Nakamori, Masahiro; Hosomi, Naohisa; Imamura, Eiji; Matsushima, Hayato; Maetani, Yuta; Yoshida, Mitsuyoshi; Yoshikawa, Mineka; Takeda, Chiho; Nagasaki, Toshikazu; Masuda, Shin; Kayashita, Jun; Tsuga, Kazuhiro; Tanimoto, Keiji; Wakabayashi, Shinichi; Maruyama, Hirofumi
Journal of neurology, 03/2021, Volume: 268, Issue: 3Journal Article
Background and purpose We aimed to assess stroke lesions, which play a key role in determining swallowing dysfunction, and findings of videofluoroscopy (VF), which provides the most accurate instrumental assessment for evaluating swallowing function, in patients with acute stroke. Methods We enrolled 342 patients with first-time acute stroke (age 70.4 ± 12.6 years, 142 female). Patients with dementia and altered mental status due to severe stroke were excluded. All patients underwent cranial magnetic resonance imaging to identify the location of stroke lesion, VF, and tongue pressure measurement. Results Aspiration was detected in 45 (13.2%) patients. Multivariate analysis identified parietal lobe lesion and the National Institutes of Health Stroke Scale (NIHSS) score as independent significant factors for aspiration (odds ratio 6.33, 95% confidence interval CI 2.25–17.84, p < 0.001; odds ratio 1.12, 95% CI 1.03–1.20, p = 0.004, respectively). Swallowing reflex delay was detected in 58 (17.0%) patients. Multivariate analysis identified habitual drinking, basal ganglia lesion, and the NIHSS score as independent significant factors for swallowing reflex delay (odds ratio 0.51, 95% CI 0.26–0.99, p = 0.047; odds ratio 1.91, 95% CI 1.09–3.67, p = 0.041; odds ratio 1.12, 95% CI 1.05–1.20, p < 0.001, respectively). Additionally, oral cavity and pharyngeal residues were independently associated with tongue pressure. Conclusion Parietal lobe lesions are associated with aspiration and basal ganglia lesions with swallowing reflex delay.
Shelf entry
Permalink
- URL:
Impact factor
Access to the JCR database is permitted only to users from Slovenia. Your current IP address is not on the list of IP addresses with access permission, and authentication with the relevant AAI accout is required.
Year | Impact factor | Edition | Category | Classification | ||||
---|---|---|---|---|---|---|---|---|
JCR | SNIP | JCR | SNIP | JCR | SNIP | JCR | SNIP |
Select the library membership card:
If the library membership card is not in the list,
add a new one.
DRS, in which the journal is indexed
Database name | Field | Year |
---|
Links to authors' personal bibliographies | Links to information on researchers in the SICRIS system |
---|
Source: Personal bibliographies
and: SICRIS
The material is available in full text. If you wish to order the material anyway, click the Continue button.