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  • 1
    Electronic Resource
    Electronic Resource
    Pharyngeal constrictor paresis: An indicator of neurologic disease? (1993)
    Springer
    Dysphagia 8 (1993), S. 239-243 
    Details
    ISSN: 1432-0460
    Keywords: Dysphagia ; Pharynx dysfunction ; Gastroesophageal reflux ; Constrictor paresis ; Deglutition ; Deglutition disorders
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Pharyngeal constrictor paresis (PHCP) is sometimes found in videoradiography of the swallowing act in patients complaining of dysphagia. Ten patients with PHCP and 10 dysphagic, age- and sex-matched controls with normal videoradiography were neurologically evaluated and examined with magnetic resonance imaging (MRI) of the brain and brainstem in order to learn the pathogenetic process behind PHCP. The study revealed 8 PHCP patients and 1 dysphagic control with abnormal clinical neurological findings such as myopathy, cerebrovascular disease, or extrapyramidal disease. The neurological examination revealed considerable information of prognostic and therapeutic value in PHCP patients. The MRI was abnormal in 7 PHCP patients and 4 dysphagic controls. However, the findings in MRI were nonspecific but the examination was found to be valuable in selected cases. It is concluded that PHCP is an indicator of neurological disease and accordingly, such patients should be examined by a neurologist to establish the cause of the disease.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01354545
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Interobserver variability in cineradiographic assessment of pharyngeal function during swallow (1988)
    Springer
    Dysphagia 3 (1988), S. 46-48 
    Details
    ISSN: 1432-0460
    Keywords: Deglutition Pharynx, dysfunction ; Cineradiography
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Cineradiographic examinations of 72 patients with dysphagia and normal or abnormal studies demonstrating a range of pharyngeal dysfunctions during swallowing were retrospectively reviewed independently by six radiologists. The interobserver variability was then assessed. There was high concordance for the assessment of contrast medium reaching into the trachea, absent pharyngeal constriction, and the presence of Zenker diverticula. The concordance was less for normal pharyngeal function as well as decreased pharyngeal constriction and cricopharyngeal muscle impression less than 50%. The number of disagreements varied according to the observer's experience. Cineradiographic examinations of pharyngeal function during swallow had an acceptable degree of interobserver variability and can be a useful tool for the evaluation of pharyngeal function in patients with dysphagia.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02406279
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
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