Riski J E, Horner J, Nashold B S
Department of Surgery, Duke University Medical Center, Durham, NC 27710.
Neurology. 1990 Sep;40(9):1443-5. doi: 10.1212/wnl.40.9.1443.
We examined the oropharyngeal swallowing ability of 43 patients with spasmodic torticollis using a videofluoroscopic procedure. Twenty-two (51.2%) demonstrated objective evidence of swallowing abnormalities; 15 (34.9%) had subjective complaints. Delayed swallowing reflex and vallecular residue were more frequent (p less than 0.0046) than any other abnormality. The constellations of abnormalities were consistent with neurogenic, postural, and mixed neurogenic-postural types of dysphagia.
我们使用电视荧光透视检查法对43例痉挛性斜颈患者的口咽吞咽能力进行了检查。22例(51.2%)有吞咽异常的客观证据;15例(34.9%)有主观症状。吞咽反射延迟和会厌谷残留比其他任何异常情况更常见(p<0.0046)。异常情况的类型与神经性、姿势性以及神经性 - 姿势混合性吞咽困难相符。