Robert D, Bianco-Blache A, Spezza C, Verschueren A, Pouget J, Giovanni A
Fédération ORL, CHU La Timone, 264, rue Saint-Pierre, 13385 Marseille Cedex 5.
Rev Neurol (Paris). 2006 Apr;162(4):445-53. doi: 10.1016/s0035-3787(06)75035-4.
Swallowing and speech disorders are the dramatic consequences of bulbar and pseudo-bulbar syndrome in ALS. Evaluation is necessary to guide speech therapy and to measure the effects of treatment. This article revues the different examinations used to assess bulbar and pseudobulbar involvement in an ALS patient: oromotor assessment, evaluation of the functions with self assessment, perceptive and objective evaluation of speech disorders, fiberoptic endoscopic evaluation of dysphagia (FEES) and videofluoroscopy.
吞咽和言语障碍是肌萎缩侧索硬化症(ALS)中延髓和假性延髓综合征的严重后果。进行评估对于指导言语治疗和衡量治疗效果很有必要。本文综述了用于评估ALS患者延髓和假性延髓受累情况的不同检查方法:口面部运动评估、自我评估功能、言语障碍的感知和客观评估、吞咽功能的纤维内镜评估(FEES)以及电视透视检查。