Abe Arata, Harada-Abe Mina, Takayama Yohei, Toda Yusuke, Ueda Masayuki, Katayama Yasuo
Department of Neurological Science, Graduate School of Medicine, Nippon Medical School.
J Nippon Med Sch. 2014;81(3):164-7. doi: 10.1272/jnms.81.164.
A 75-year-old man was admitted to our hospital with dysphagia shortly after the onset of a brainstem infarction. Videofluorography indicated the presence of a Zenker's diverticulum with a bolus at the esophageal orifice; endoscopy 5 years earlier had not shown a Zenker's diverticulum and suggests that the diverticulum had formed because of an increase in the hypopharyngeal pressure caused by the brainstem infarction. Surgical excision successfully facilitated transport of the bolus to the esophageal orifice. In the present report, we describe a case of dysphagia caused by a Zenker's diverticulum following and associated with a brain infarction.
一名75岁男性在脑干梗死发病后不久因吞咽困难入住我院。电视荧光吞咽造影显示存在Zenker憩室，食管口处有一团食团；5年前的内镜检查未发现Zenker憩室，提示该憩室是由脑干梗死引起的下咽压力增加所致。手术切除成功促进了食团向食管口的输送。在本报告中，我们描述了一例继发于脑梗死并与之相关的Zenker憩室导致吞咽困难的病例。
