D Goossens1, M Guatterie, M Barat, M de Séze. 1. Service de médecine physique et de réadaptation, hôpital Pellegrin, CHU, 33076 Bordeaux cedex, France.
Abstract
INTRODUCTION: Post brainstem lesion dysphagia is frequently associated with palatal myoclonus (PM) but the correlation between these two symptoms is still unclear. OBJECTIVE: The aim of this study was to verify the relationship between PM and dysphagia, and if PM could itself induce dysphagia. PATIENTS AND METHODS: Twelve patients suffering from post brainstem lesion PM and dysphagia; 10 male and two female, mean aged of 50.5 years, were assessed using clinical examination, radiological and endoscopic examination of deglutition. RESULTS: In three cases, PM were associated with pharyngeal area decreasing, laryngeal aspiration, and dysphagia. DISCUSSION: This study confirms the hypothesis of close relationship between PM and dysphagia. In these cases, specific dysphagia therapy should be recommended. CONCLUSION: Post brainstem lesion dysphagia is sometimes associated with PM and in some cases, there is probably a relationship between PM and swallowing disorders of these patients.
INTRODUCTION: Post brainstem lesion dysphagia is frequently associated with palatal myoclonus (PM) but the correlation between these two symptoms is still unclear. OBJECTIVE: The aim of this study was to verify the relationship between PM and dysphagia, and if PM could itself induce dysphagia. PATIENTS AND METHODS: Twelve patients suffering from post brainstem lesion PM and dysphagia; 10 male and two female, mean aged of 50.5 years, were assessed using clinical examination, radiological and endoscopic examination of deglutition. RESULTS: In three cases, PM were associated with pharyngeal area decreasing, laryngeal aspiration, and dysphagia. DISCUSSION: This study confirms the hypothesis of close relationship between PM and dysphagia. In these cases, specific dysphagia therapy should be recommended. CONCLUSION: Post brainstem lesion dysphagia is sometimes associated with PM and in some cases, there is probably a relationship between PM and swallowing disorders of these patients.