Kawnayn Ghulam, Kabir Humayun, Anwar Mahin Binte, Mahmud Raihan, Huq Muhammad Rezeul
Neurology, Combined Military Hospital, Dhaka, BGD.
Radiology, Combined Military Hospital, Dhaka, BGD.
Cureus. 2023 Mar 14;15(3):e36119. doi: 10.7759/cureus.36119. eCollection 2023 Mar.
Swallowing apraxia is an intriguing type of apraxia where the patient cannot swallow despite normal neurological examinations including motor, sensory and cerebellar function. In this case report, we present a 60-year-old hypertensive male with swallowing apraxia. There was no attempt to swallow when food materials were given inside his mouth. Although he had normal examination findings including intact lip, tongue, palatal movement, and gag reflex. His cognition was also intact, as he could follow simple commands accurately. Except for a small infarct in the right precentral gyrus in the MRI (Magnetic Resonance Imaging) of the brain, his investigation findings were normal. We treated him with nasogastric feeding, and he gradually recovered over a month. Clinicians should consider swallowing apraxia as one of the clinical features of stroke when patients present with acute onset of swallowing problems. This case report is believed to increase awareness regarding this condition and add valuable information to relevant further studies.
吞咽失用症是一种引人关注的失用症类型，患者尽管神经学检查（包括运动、感觉和小脑功能）正常，但仍无法吞咽。在本病例报告中，我们介绍了一名患有吞咽失用症的60岁男性高血压患者。当在其口腔内放入食物时，他没有尝试吞咽。尽管他的检查结果正常，包括唇部、舌头、腭部运动正常以及咽反射正常。他的认知也正常，因为他能够准确听从简单指令。除了脑部磁共振成像（MRI）显示右中央前回有一个小梗死灶外，他的检查结果均正常。我们对他进行了鼻饲喂养，他在一个月内逐渐康复。当患者出现急性吞咽问题时，临床医生应将吞咽失用症视为中风的临床特征之一。本病例报告相信会提高对这种病症的认识，并为相关进一步研究增添有价值的信息。
