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- Publisher
- Radiological Society of North America, Inc.
- Copyright
- Copyright © 2006 by Radiological Society of North America
- ISSN
- 1527-1323
- eISSN
- 0271-5333
- DOI
- 10.1148/rg.e22
- pmid
- 16278344
- Publisher site
- See Article on Publisher Site
Abstract
Many patients with neurologic impairment due to stroke, multiple sclerosis, trauma, bulbar palsy, and other disorders have difficulty swallowing. Videofluoroscopy can provide important information on patterns of impairment of the swallowing mechanism, allowing important changes in patient treatment. The detailed videofluoroscopic evaluation required to provide this information is now seldom taught and is practiced by relatively few radiologists. The aim of this article is to (a) describe the indications for videofluoroscopic swallowing studies in the evaluation of patients with neurologic conditions affecting swallowing, (b) describe the techniques for evaluating the swallow mechanism with videofluoroscopy in a standardized manner, and (c) use cine videofluoroscopy to illustrate the range of abnormalities that can be demonstrated for some of these conditions and discuss the effect of patient treatment. ALS = amyotrophic lateral sclerosis UES = upper esophageal sphincter VFSS = videofluoroscopic swallow study
Journal
Radiographics – Radiological Society of North America, Inc.
Published: Jan 1, 2006