IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i23p16329-d994767.html
   My bibliography  Save this article

Swallowing Apraxia Post Ischemic Stroke

Author

Listed:
  • Abdullah Mohammed Alfaris

    (Rehabilitation Department, King Abdullah Bin Abdulaziz University Hospital, P.O. Box 47330, Riyadh 11552, Saudi Arabia)

  • Atheer Saeed Alghamdi

    (Rehabilitation Department, King Abdullah Bin Abdulaziz University Hospital, P.O. Box 47330, Riyadh 11552, Saudi Arabia)

  • Enas Saad Almowalad

    (Department of Internal Medicine and Critical Care Neuroscience Division, King Abdullah Bin Abdulaziz University Hospital, P.O. Box 47330, Riyadh 11552, Saudi Arabia)

  • Awad Aweid Al Harbi

    (Department of Internal Medicine and Critical Care Neuroscience Division, King Abdullah Bin Abdulaziz University Hospital, P.O. Box 47330, Riyadh 11552, Saudi Arabia)

  • Khaled Abdulraheem Alghamdi

    (Rehabilitation Department, King Abdullah Bin Abdulaziz University Hospital, P.O. Box 47330, Riyadh 11552, Saudi Arabia)

  • Jameelah Saeedi

    (Department of Internal Medicine and Critical Care Neuroscience Division, King Abdullah Bin Abdulaziz University Hospital, P.O. Box 47330, Riyadh 11552, Saudi Arabia)

  • Nisreen Naser Al Awaji

    (Department of Health Communication Sciences, College of Health and Rehabilitation Sciences, Princess Nourah Bint Abdulrahman University, P.O. Box 84428, Riyadh 11671, Saudi Arabia)

Abstract

A 55-year-old male patient with a known medical history of diabetes mellitus type 2 and treated lymphoma was first admitted with a sudden left-sided facial asymmetry and mouth deviation to the left side with no other neurological symptoms. A Computerized Tomography (CT) scan of the brain showed acute infarct and small left basal ganglia old lacunar infarction. He was discharged on a dual antiplatelet. One week later, the patient’s condition had worsened and, therefore, was admitted with an impression of ischemic stroke. A bedside swallowing assessment, VFSS, and FEES study were conducted to diagnose this case. The bedside assessment did not reveal any sensory or motor deficits in his oral cavity and the FEES examination was also unable to rule out pharyngeal dysphagia. However, a videofluoroscopic swallowing study (VFSS) revealed a significant dysfunction of oral preparation and oral phases and presented difficulty initiating the pharyngeal phase. Given these features, we believe that this swallowing difficulty is caused by swallowing apraxia. This case provides additional information and understanding on management from the swallowing side.

Suggested Citation

  • Abdullah Mohammed Alfaris & Atheer Saeed Alghamdi & Enas Saad Almowalad & Awad Aweid Al Harbi & Khaled Abdulraheem Alghamdi & Jameelah Saeedi & Nisreen Naser Al Awaji, 2022. "Swallowing Apraxia Post Ischemic Stroke," IJERPH, MDPI, vol. 19(23), pages 1-6, December.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:23:p:16329-:d:994767
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/23/16329/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/23/16329/
    Download Restriction: no
    ---><---

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:23:p:16329-:d:994767. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.