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Dysphagia in Ambulant Patients with Parkinson's Disease: common, not dangerous

Published online by Cambridge University Press:  18 September 2015

Axel R. Wintzen ,
Umesh A. Badrising ,
Raymund A.C. Roos ,
Jan Vielvoye ,
Lishya Liauw  and
Ernest K.J. Pauwels
Axel R. Wintzen*
Affiliation:
Department of Neurology, University of Leiden, The Netherlands
Umesh A. Badrising
Affiliation:
Department of Neurology, University of Leiden, The Netherlands
Raymund A.C. Roos
Affiliation:
Department of Neurology, University of Leiden, The Netherlands
Jan Vielvoye
Affiliation:
Department of Neuroradiology, University of Leiden, The Netherlands
Lishya Liauw
Affiliation:
Department of Neuroradiology, University of Leiden, The Netherlands
Ernest K.J. Pauwels
Affiliation:
Department of Nuclear Medicine, University of Leiden, The Netherlands
*
gebouw 20 AZL, Postbus 9600, 2300 RC Leiden, The Netherlands
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Abstract:

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To assess the frequency of subjective and objective dysphagia and its possible pulmonary sequelae, we prospectively studied 22 out-patients with Parkinson's disease; 15 spouses served as controls. All subjects answered a standard questionnaire concerning swallowing and respiratory functions and underwent barium swallow videofluoroscopy. Possible pulmonary infection was investigated by recordings of body temperature, ESR, leucocyte count, and chest X-ray. Patients had significantly more symptoms than controls, especially choking, piece-meal deglutition and regurgitation. Videofluoroscopy revealed tracheal aspiration in one patient, vestibular aspiration in one patient and in one control. Non-fluent swallowing movements were common in patients: abnormal bolus formation, delayed swallowing reflex, vallecular stasis, and piriform sinus residue. None of the subjects had signs of pulmonary infection. Both subjective and objective oro-pharyngeal dysfunction is frequent in ambulant Parkinson patients, but apparently does not produce demonstrable pulmonary infection.

Type
Articles
Information
Canadian Journal of Neurological Sciences , Volume 21 , Issue 1 , February 1994 , pp. 53 - 56
Copyright
Copyright © Canadian Neurological Sciences Federation 1994

References

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