Dysphagia in Stroke, Neurodegenerative Disease, and Advanced Dementia

Kenneth W. Altman, Amanda Richards, Leanne Goldberg, Steven Frucht, Daniel J. McCabe

Research output: Contribution to journalReview articlepeer-review

39 Scopus citations

Abstract

Aspiration risk from dysphagia increases with central and peripheral neurologic disease. Stroke, microvascular ischemic disease, a spectrum of neurodegenerative diseases, and advancing dementia all have unique aspects. However, there are distinct commonalities in this population. Increasing nutritional requirements to stave off oropharyngeal muscular atrophy and a sedentary lifestyle further tax the patient's abilities to safely swallow. This article reviews stroke, muscular dystrophy, myasthenia gravis, multiple sclerosis, amyotrophic lateral sclerosis, Parkinson's disease, and advanced dementia. Approaches to screening and evaluation, recognizing sentinel indicators of decline that increase aspiration risk, and options for managing global laryngeal dysfunction are also presented.

Original languageEnglish
Pages (from-to)1137-1149
Number of pages13
JournalOtolaryngologic Clinics of North America
Volume46
Issue number6
DOIs
StatePublished - Dec 2013

Keywords

  • Dementia
  • Dysphagia
  • Multiple sclerosis
  • Muscular dystrophy
  • Myasthenia gravis
  • Neurodegenerative disease
  • Stroke

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